Jesse Matsubara

NPI #1972904050 in Morton Grove, Illinois

Provider Information

NPI Number: 1972904050
Entity Type: Individual
Name: Jesse Matsubara
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 9, 2014
Last Updated: Sep 9, 2014

Practice Location

Address: 9000 WAUKEGAN RD
Address 2: SUITE 100
City: Morton Grove
State: Illinois
ZIP Code: 60053-2127
Phone: (847) 779-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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