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Individual
MR. MATTHEW PERRY
Active
Individual
MR. MATTHEW PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025872-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161719136
PROVIDER
NY
01
—
6697166
PROVIDER
NY
Enumeration date
11/30/2005
Last updated
08/13/2014
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