Most Relevant Information
Provider Data
| NPI Number: | 1003441742 |
| Provider Name: | TETYANA MATVEYEVA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/03/2020 |
| Last Updated: | 07/21/2021 |
Provider Practice Location
2600 COMPASS RD
GLENVIEW
IL
600268001
Practice Location Phone/Fax
| Phone: | 8777873430 |
| Fax: |
Provider Mailing Location
3264 DESERT CT
HELENA
MT
596029742
Provider Mailing Phone/Fax
| Phone: | 4062173561 |
| Fax: |