Individual
MATHEW THOMAS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
1836 GREENE TREE RD, BALTIMORE, MD 21208-1381
(410) 486-9992
Mailing address
PO BOX 866308, PLANO, TX 75086-6308
(800) 793-5464
(267) 321-2099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22375
MD
Other
Enumeration date
05/07/2010
Last updated
10/17/2013
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