Individual
SHANNON ELIZABETH HITCHCOCK MATASOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
780 COMMUNITY DR UNIT 5, NORTH LIBERTY, IA 52317-2510
(319) 383-0322
Mailing address
220 LENCESTER AVE, NORTH LIBERTY, IA 52317-8813
(630) 484-6425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
099313
IA
Other
Enumeration date
02/15/2020
Last updated
12/18/2023
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