Individual
MATTHEW PERRELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
152 MAPLE STREET, SUITE 203, MIDDLEBURY, VT 05753
(802) 349-7565
Mailing address
152 MAPLE STREET, SUITE 203, MIDDLEBURY, VT 05753
(802) 349-7565
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA60247265
WA
225700000X
Massage Therapist
Primary
MA60247265
WA
Other
Enumeration date
11/03/2011
Last updated
09/24/2013
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