Individual
MATTHEW TAYLOR VANDER KOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
16811 N LITCHFIELD RD STE 101, SURPRISE, AZ 85374-7062
(623) 322-0654
(623) 322-0664
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30902
AZ
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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