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1073640413
MATTHEW THOMAS CARLSON
EVERGREEN PARK, IL
NPI
1073640413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 70012540)
Enumeration Date
2007-02-27
Last Update Date
2020-03-26
Business Address
Dr. MATTHEW THOMAS CARLSON DPT, OCS, COMT
9826 S WESTERN AVE
EVERGREEN PARK, IL 60805-3200
Phone number: 708-952-8220
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Mailing Address
Dr. MATTHEW THOMAS CARLSON DPT, OCS, COMT
3055 ROSLYN ST
DENVER, CO 80238-3323
Phone number: 720-848-0000
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