Individual
MR. MATTHEW ROBERT CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
28 NOOSENECK HILL RD, UNIT 3, WEST GREENWICH, RI 02817-1568
(401) 385-9530
(401) 385-9532
Mailing address
45 NOOSENECK HILL RD, UNIT 12, WEST GREENWICH, RI 02817-1564
(401) 385-9530
(401) 385-9532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008064
CT
225100000X
Physical Therapist
16252
MA
225100000X
Physical Therapist
Primary
PT01649
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201145301
UNITED HEALTHCARE
RI
01
—
27681-4
BLUE CROSS RI
RI
01
—
3561754
AETNA HMO/QPOS
RI
01
—
408727
BLUE CHIP RI
RI
01
—
7493581
AETNA TRAD CHOICE PPO POS
RI
Enumeration date
05/23/2005
Last updated
06/03/2020
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