MR. Matthew J Vanderkooi, PT

NPI #1932180775 in Portage, Wisconsin

Provider Information

NPI Number: 1932180775
Entity Type: Individual
Name: MR. Matthew J Vanderkooi, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 9, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 2639 NEW PINERY RD
Address 2: SUITE 2
City: Portage
State: Wisconsin
ZIP Code: 53901-1110
Phone: (608) 742-9356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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