Individual
NICHOLE MARIE MATUSZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1120 S CALUMET RD, CHESTERTON, IN 46304-3285
(219) 983-9675
Mailing address
403 N. MAIN ST., WANATAH, IN 46390
(219) 241-5593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008714A
IN
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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