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1588293732
MATTHEW DANIEL ANDERSON
MILWAUKEE, WI
NPI
1588293732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 3006)
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
MATTHEW DANIEL ANDERSON
3023 S 84TH ST
MILWAUKEE, WI 53227-3703
Phone number: 414-607-4120
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Mailing Address
MATTHEW DANIEL ANDERSON
3023 S 84TH ST
MILWAUKEE, WI 53227-3703
Phone number: 414-607-4120
Copy
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