Individual
MATTHEW M SHIOMICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
161 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4500
(804) 484-3700
(804) 320-6462
Mailing address
PO BOX 36007, NORTH CHESTERFIELD, VA 23235-8000
(804) 484-3700
(804) 320-6462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213888
VA
225100000X
Physical Therapist
24103
MD
2251X0800X
Orthopedic Physical Therapist
24103
MD
Other
Enumeration date
07/24/2012
Last updated
11/30/2021
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