Individual
MATTHEW J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15425 MANCHESTER RD STE 28, BALLWIN, MO 63011-3077
(636) 220-6969
Mailing address
671 GOLFVIEW DR, BALLWIN, MO 63011-1522
(314) 757-6210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020025098
MO
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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