Individual
MATTHEW METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
(540) 725-5368
Mailing address
23 JACKSON DR, MONESSEN, PA 15062-2501
(724) 454-5668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-007727
VA
225X00000X
Occupational Therapist
31006597A
IN
225X00000X
Occupational Therapist
OC014834
PA
225X00000X
Occupational Therapist
OT18120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053854414
—
VA
Enumeration date
12/02/2016
Last updated
05/04/2018
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