Individual
DANIEL MATUNDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1019 SCHOOL ST, LISLE, IL 60532-1870
(630) 315-8800
Mailing address
1719 PAUL AVE, GLENDALE HTS, IL 60139-2695
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009046
IL
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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