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Individual
MATTHEW G BURRESS
Active
Individual
MATTHEW G BURRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209263
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307001177
DIRECT ACCESS CERTIFICATION
VA
01
—
K949 - 0076
CAREFIRST
VA
Enumeration date
02/06/2015
Last updated
09/18/2015
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