MATTHEW RAY DEWALL

INDIANOLA, IA
NPI1194782961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  03373)
Enumeration Date2006-04-27
Last Update Date2007-07-08
Business Address
-- MATTHEW RAY DEWALL MPT CSCS
1507 NORTH 1ST ST
INDIANOLA, IA 50125
Phone number: 515-382-3366
Mailing Address
-- MATTHEW RAY DEWALL MPT CSCS
PO BOX 461
NEVADA, IA 50201-0461
Phone number: 515-382-3366