Individual
MATTHEW P WALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
67 PINE POINT RD, SCARBOROUGH, ME 04074-8813
(207) 883-2468
Mailing address
67 PINE POINT RD, SCARBOROUGH, ME 04074-8813
(207) 883-2468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2777
ME
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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