Individual
MANOJ MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 COUNTRY CLUB DR, WOODRIDGE, IL 60517-3071
(331) 803-8609
Mailing address
2025 COUNTRY CLUB DR, WOODRIDGE, IL 60517-3071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004846
IL
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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