Individual
MR. MATTHEW CARL WEISSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
735 SW 158TH AVE, SUITE 160, BEAVERTON, OR 97006-4952
(503) 597-0035
(503) 726-5490
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06679
OR
225100000X
Physical Therapist
PT 2187
HI
Other
Enumeration date
11/17/2006
Last updated
07/22/2016
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