Individual
MATTHEW CHRISTOPHER DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
23 WEST GLAN ROAD, APALACHIN, NY 13732
(607) 725-0889
Mailing address
4017 MARIETTA DR, VESTAL, NY 13850-4030
(607) 221-7940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P82069
NY
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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