Individual
MATTHEW OWEN GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3589
Mailing address
2123 STRATFORD RD, SOUTH CHARLESTON, WV 25303-3011
(304) 346-3883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002309
WV
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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