Anthony V Matt P.T.

NPI 1124146576 - Physical Therapist - 225100000X

NPI Details
NPI 1124146576
Gender Male
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6405 ROSEWOOD ST
SUITE B
LAKE OSWEGO OR, 97035-5284, US
Phone (503) 675-7603
Fax (503) 675-7611
Business Location
5023 SE MARTINS ST
PORTLAND OR, 97206-6963, US
Phone (503) 246-0919
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 2805
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According to our database, Anthony V Matt P.T. NPI is 1124146576, taxonomy code is 225100000X and license number is 2805, license state is located at Oregon. Anthony V Matt P.T. physically located at 6405 Rosewood St, Lake Oswego OR, 97035-5284. NPI Number Anthony V Matt P.T. has the Individual type.

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1124146576 NPI number is provided on an as is basis without warranty of any kind. 1124146576 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony V Matt P.T. are for informational purposes only.