Individual
MATTHEW DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15882 CLAYTON RD, ELLISVILLE, MO 63011-2212
(636) 484-8084
(636) 484-8086
Mailing address
14515 N OUTER 40 RD STE 110, CHESTERFIELD, MO 63017-5746
(314) 434-8680
(314) 453-9985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022016698
MO
Other
Enumeration date
05/25/2022
Last updated
06/16/2022
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