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Individual
MATTHEW FRAWLEY
Active
Individual
MATTHEW FRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213709
VA
225100000X
Physical Therapist
40QA01719800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01719800
PT LICENSE
NJ
Enumeration date
03/08/2017
Last updated
09/10/2020
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