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1043351927
COLIN MATTIACE
CHICAGO, IL
NPI
1043351927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011775)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
-- COLIN MATTIACE MPT
500 N KINGSBURY ST EAST BANK CLUB
CHICAGO, IL 60610-4021
Phone number: 312-527-5801
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Mailing Address
-- COLIN MATTIACE MPT
500 N KINGSBURY ST
CHICAGO, IL 60610-4021
Phone number:
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