Individual
MR. MATTHEW REIOT KLEBENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
852A SHARP DRIVE, PROVENA PHYSICAL THERAPY & INDUSTRIAL REHAB. CENTER, SHOREWOOD, IL 60404
(815) 741-7416
(815) 741-0774
Mailing address
333 NORTH MADISON, PROVENA SAINT JOSEPH MEDICAL CENTER, JOLIET, IL 60435
(815) 741-7416
(815) 741-0774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.004830
IL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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