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Individual
MR. MATTHEW WILLIAM SMITH
Active
Individual
MR. MATTHEW WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035071-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035071-1
PHYSICAL THERAPY LICENSE
NY
Enumeration date
08/29/2014
Last updated
08/29/2014
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