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Individual

DR. MATTHEW AUDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, CMP

Contact information

Practice address
5963 LA PLACE CT STE 109, CARLSBAD, CA 92008
(617) 669-1071
Mailing address
5963 LA PLACE CT STE 109, CARLSBAD, CA 92008-8822
(617) 669-1071

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17240
MA
2251N0400X
Neurology Physical Therapist
Primary
34627
CA

Other

Enumeration date
03/06/2008
Last updated
06/08/2018
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