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Individual
MATTHEW DEFLAVIA
Active
Individual
MATTHEW DEFLAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01638600
NJ
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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