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Individual
JARED ANDERSON MATLICK
Active
Individual
JARED ANDERSON MATLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27540
MD
225100000X
Physical Therapist
PT003510
WV
Other
Enumeration date
08/03/2015
Last updated
05/22/2020
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