Individual
MR. MATTHEW ROBERT CHARVAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
GOSSETT FOOTBALL TEAM HOUSE, 379 FIELD HOUSE DRIVE, COLLEGE PARK, MD 20742-0001
(301) 314-9901
(301) 314-6549
Mailing address
106 FORESTS EDGE PL, LAUREL, MD 20724-1803
(301) 928-2019
(301) 314-6549
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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