Individual
MATTHEW SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 SUNCREST DR, LAPEER, MI 48446-1151
(810) 664-8571
Mailing address
406 MILFORD CT APT 13, DAVISON, MI 48423-1667
(810) 874-4781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003093
MI
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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