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Individual
MATTHEW B ROHAN
Active
Individual
MATTHEW B ROHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT256290
BLUE SHIELD PIN NUMBER
CA
01
—
P00447076
MC RAILROAD PIN
CA
01
—
PT25629
STATE LICENSE
CA
Enumeration date
12/06/2006
Last updated
11/08/2024
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