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Individual
MATTHEW BRODY
Active
Individual
MATTHEW BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027683
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT027683
PHYSICAL THERAPY STATE LICENSE
PA
Enumeration date
05/14/2019
Last updated
09/07/2023
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