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Individual

MR. MATTHEW M POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT DPT

Contact information

Practice address
12371 HWY 90, STE D, LULING, LA 70070
(985) 331-1001
(985) 331-1005
Mailing address
12371 HWY 90, STE D, LULING, LA 70070
(985) 331-1001
(985) 331-1005

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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