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Organization

DM MANAGEMENT PC

Active
Other names
One on One Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW L. WALKER MPT (OWNER/THERAPIST)
(208) 888-4321
Entity
Organization

Contact information

Practice address
2321 E GALA ST, SUITE 1, MERIDIAN, ID 83642-4881
(208) 888-4321
(208) 895-8747
Mailing address
2321 E GALA ST, SUITE 1, MERIDIAN, ID 83642-4881
(208) 888-4321
(208) 895-8747

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TA922
BLUE CROSS OF IDAHO GROUP
ID
Enumeration date
04/10/2006
Last updated
07/21/2022
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