Individual
MRS. JANET A MATUSZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
964 W RYAN ST, SUITE B, BRILLION, WI 54110-1076
(920) 756-2055
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5846-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40326300
—
WI
Enumeration date
04/30/2008
Last updated
05/02/2018
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