Daniel Matundan

Physical Therapy Assistant · Lisle, IL

Individual Active NPI

NPI number 1245946037

Practice location

1019 School St
Lisle, IL 60532-1870
Phone
(630) 315-8800

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NPI record

NPI
1245946037
Entity type
Individual (Type 1)
Enumeration date
January 25, 2023
Last updated
January 25, 2023
Certified
January 25, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.009046 IL

Mailing address

1719 Paul Ave
Glendale Hts, IL 60139-2695

About Daniel Matundan

Daniel Matundan is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1019 School St, Lisle, IL 60532-1870. The NPI number 1245946037 was assigned on January 25, 2023 and the record was last updated on January 25, 2023.

Daniel Matundan lists a license in the registry: #160.009046 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Matundan?

The NPI number is 1245946037.

What is the phone number of Daniel Matundan?

The phone number listed for the practice location is (630) 315-8800.

Where is Daniel Matundan located?

1019 School St, Lisle, IL 60532-1870.

What is the taxonomy code for Daniel Matundan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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