Individual
MATTHEW RYAN BLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
460 AMHERST ST, SNHRC, NASHUA, NH 03063-1220
(603) 577-8400
(603) 577-8405
Mailing address
460 AMHERST ST, SNHRC, NASHUA, NH 03063-1220
(603) 577-8400
(603) 577-8405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3386
NH
2255A2300X
Athletic Trainer
0416
NH
2255A2300X
Athletic Trainer
1524
MA
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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