Individual
MATTHEW T GILTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2020 S WEBSTER AVE, GREEN BAY, WI 54301-2291
(920) 445-7222
Mailing address
2020 S WEBSTER AVE, GREEN BAY, WI 54301-2291
(920) 445-7222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3897-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3897-024
LICENSE
WI
Enumeration date
07/05/2006
Last updated
07/08/2007
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