Individual
MATTHEW TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
(304) 926-0913
(304) 926-0914
Mailing address
4216 MACCORKLE AVE SE, STE 4, CHARLESTON, WV 25304-2539
(304) 914-1394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
12/16/2019
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