Individual
MATTHEW MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 N STATE COLLEGE BLVD STE G, ANAHEIM, CA 92806-2932
(714) 999-6596
(714) 999-5009
Mailing address
12525 SPRINGSNOW CIR, CERRITOS, CA 90703-8326
(408) 813-4970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50053
CA
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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