Individual
BRIAN MATTHEW CAMPOLI
Active
Individual
BRIAN MATTHEW CAMPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13264
AZ
225100000X
Physical Therapist
62403
OR
225100000X
Physical Therapist
PTL.0015447
CO
225100000X
Physical Therapist
Primary
PTP-PT-LIC-14931
MT
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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