Individual
MATTHEW TYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
74 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 798-4050
(207) 798-4018
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 828-2449
(207) 828-7850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2305
ME
Other
Enumeration date
08/08/2006
Last updated
06/08/2012
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