SearchIllinois225X00000X

Matthew Klebenow, O.T

NPI 1043567720 · on the registry since 2012

Practice

Address
852a Sharp Drive
Provena Physical Therapy & Industrial Rehab. Center
Shorewood, IL 60404
Phone
(815) 741-7416
Fax
(815) 741-0774

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois