Matthew J. Preston PTA
Physical Therapy Assistant in Union C Enter, WI(View on Map)
Full Name
Matthew Jon Preston PTA
NPI Number
1568635795
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/09/2008
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
1399-019
Contact
Information
Purpose
Mailing
Location
Address
658 PARK STREET
658 PARK STREET
City
Union Center
Union C Enter
State
WI
WI
Postal Code
53962
53962
Country
US
US
Telephone Number
(608) 547-3810
(608) 547-3810
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/09/2008
Provider Address
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