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Individual
MATTHEW PATTILLO
Active
Individual
MATTHEW PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00008176
WA
225100000X
Physical Therapist
Primary
PT42742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186430
LABOR & INDUSTRIES
WA
05
—
8336455
—
WA
Enumeration date
03/09/2007
Last updated
06/02/2025
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