Individual
MARIA MELANIE MATTA ARTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
518 W ROMEO B GARRETT AVE, PEORIA, IL 61605-2319
(718) 704-4447
Mailing address
236 S OKLAHOMA AVE, MORTON, IL 61550-9077
(718) 704-4447
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
070014689
IL
Other
Enumeration date
03/19/2007
Last updated
03/17/2018
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