Individual
MATTHEW J WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 CORPORATE DR, COVINGTON, LA 70433-1057
(985) 249-6111
(985) 249-6109
Mailing address
129 CORPORATE DR, COVINGTON, LA 70433-1057
(985) 249-6111
(985) 249-6109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT09386
LA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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