Individual
MATTHEW LYNDON MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(916) 355-1250
(916) 933-0871
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-1799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT293804
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT293804
CA
Other
Enumeration date
06/01/2018
Last updated
12/16/2021
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