Individual
MATTHEW KANETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3430 BURNET AVE # 4007, CINCINNATI, OH 45229-2833
(513) 803-8248
Mailing address
3430 BURNET AVE # 4007, CINCINNATI, OH 45229-2833
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT017995
OH
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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