Individual
MATTHEW MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
610 10TH ST, PERRY, IA 50220-2221
(515) 465-7672
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
096651
IA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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