Individual
KRYSTYNA MATYSIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 S LINCOLN ST, ADDISON, IL 60101-4418
(312) 953-5602
Mailing address
539 S LINCOLN ST, ADDISON, IL 60101-4418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005705
IL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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