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Individual

KELLY B MATUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
225 CHAPMAN ST, PROVIDENCE, RI 02905-4533
(401) 490-7610
Mailing address
115 RIVER FARM DR, EAST GREENWICH, RI 02818-2145
(401) 398-7894

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
012882
NY
225100000X
Physical Therapist
Primary
PT02365
RI

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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