Brokaw, Matt

Brokaw, Matt is an individual health care provider with primary practice located at 300 Tenney St , Kewanee IL 61443-3452. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Brokaw, Matt can be contacted via phone (309) 853-5500.

Contact Information

Primary practice address
300 Tenney St Kewanee IL 61443-3452
Phone: (309) 853-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160002429 Illinois

Profile Details

NPI number 1871855155
LBN Legal business name Brokaw, Matt
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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