MATTHEW GERARD HENDRICKSON

MILWAUKEE, WI
NPI1083048243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2059-19)
Enumeration Date2013-08-23
Last Update Date2013-08-23
Business Address
-- MATTHEW GERARD HENDRICKSON PTA
10150 W NATIONAL AVE SUITE 150
MILWAUKEE, WI 53227-2145
Phone number: 800-439-7012
Mailing Address
-- MATTHEW GERARD HENDRICKSON PTA
2914 MINERAL POINT AVE
JANESVILLE, WI 53548-3297
Phone number: 608-757-1061
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