Individual
DR. MATTHEW CONNOR PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1705 DESALES ST NW, WASHINGTON, DC 20036-4405
(202) 630-0378
Mailing address
1705 DESALES ST NW, WASHINGTON, DC 20036-4405
(202) 630-0378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912275595
BLUE CROSS BLUE SHIELD
DC
Enumeration date
12/23/2020
Last updated
08/17/2021
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