Matthew T Bottoms PTA

NPI 1093108656 - Physical Therapist - 225100000X

NPI Details
NPI 1093108656
Gender Male
Enumeration Date 03/06/2015
Last Updated 03/06/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1405 N MT AUBURN RD
CAPE GIRARDEAU MO, 63701-9998, US
Phone (573) 335-7868
Fax (573) 335-8193
Business Location
1405 N MT AUBURN RD
CAPE GIRARDEAU MO, 63701-9998, US
Phone (573) 335-7868
Fax (573) 335-8193
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 2015002016
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According to our database, Mr. Matthew T Bottoms PTA NPI is 1093108656, taxonomy code is 225100000X and license number is 2015002016, license state is located at Missouri. Matthew T Bottoms PTA physically located at 1405 N Mt Auburn Rd, Cape Girardeau MO, 63701-9998. NPI Number Matthew T Bottoms PTA has the Individual type.

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1093108656 NPI number is provided on an as is basis without warranty of any kind. 1093108656 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew T Bottoms PTA are for informational purposes only.