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Individual
MATTHEW BUCK
Active
Individual
MATTHEW BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
299172
CA
225100000X
Physical Therapist
Primary
TEMP LIC
—
Other
Enumeration date
06/23/2009
Last updated
11/13/2020
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