Individual
DR. MATTHEW A NUCIFORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7045
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9644-24
WI
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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