Individual
MS. EMILY MARGARET MATLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3611 NM 528 NW STE 101, ALBUQUERQUE, NM 87114-8920
(505) 217-2826
(505) 234-7431
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12502
MN
225100000X
Physical Therapist
—
NM
Other
Enumeration date
11/03/2021
Last updated
12/29/2023
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