DANIEL MATUNDAN

LISLE, IL
NPI1245946037
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.009046)
Enumeration Date2023-01-25
Last Update Date2023-01-25
Business Address
DANIEL MATUNDAN
1019 SCHOOL ST
LISLE, IL 60532-1870
Phone number: 630-315-8800
Mailing Address
DANIEL MATUNDAN
1719 PAUL AVE
GLENDALE HTS, IL 60139-2695
Phone number:
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