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Individual
MATTHEW B CONANT
Active
Individual
MATTHEW B CONANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070012651
IL
225100000X
Physical Therapist
Primary
PT 60520702
WA
Other
Enumeration date
02/14/2011
Last updated
06/29/2015
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