Individual
MATTHEW PETRUCCELLI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS, OCS
Contact information
Practice address
4512 KIRKWOOD HWY, STE 303, WILMINGTON, DE 19808-5123
(302) 504-6195
Mailing address
4512 KIRKWOOD HWY, STE 303, WILMINGTON, DE 19808-5123
(302) 504-6195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003344
DE
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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