Individual
TETYANA MATVEYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
3264 DESERT CT, HELENA, MT 59602-9742
(406) 217-3561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09808
OR
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
03/03/2020
Last updated
07/21/2021
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