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Individual

MATTHEW J HOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15175 W NATIONAL AVE, NEW BERLIN, WI 53151-5150
(262) 649-2135
(262) 229-8716
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12575-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0327651
WA L&I
WA
01
0327653
WA L&I
OR
05
1457775314
WA
01
P01417709
RR MEDICARE PTAN
WA
Enumeration date
02/13/2014
Last updated
11/15/2024
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