Individual
MR. PAUL MATTAMANA PAULOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 S FINLEY RD, LOMBARD, IL 60148-4830
(630) 495-4000
Mailing address
3311 TIMBER CREEK LN, NAPERVILLE, IL 60565-3534
(630) 566-0265
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005168
IL
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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