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Matt Brokaw, PTA
NPI 1871855155 · on the registry since 2012
Practice
- Address
- 300 Tenney St
Kewanee, IL 61443 - Phone
- (309) 853-5500
- Organisation at this address
- Advanced Physical Therapy Services, Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-12
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