Individual
MATLYN ALEXIS MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
408 WESTMORE DR, EVANSVILLE, IN 47712-3234
(812) 449-0789
Mailing address
408 WESTMORE DR, EVANSVILLE, IN 47712-3234
(812) 449-0789
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
464194
KY
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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