Individual
MATTHEW HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1909 VISTA DR BLDG B, LARAMIE, WY 82070-5530
(307) 721-8024
Mailing address
1909 VISTA DR BLDG B, LARAMIE, WY 82070-5530
(307) 721-8024
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CPO03586
WY
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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