Individual
MATTHEW THOMAS MARALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2253
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004245
ANTHEM BCBS
NH
05
—
30392413
—
NH
01
—
5441373
HEALTHCARE VALUE MANAGEME
—
01
—
57401
GENESIS REHAB FOR CIGNA
NH
01
—
AA63614
HARVARD PILGRIM HEALTHCAR
NH
Enumeration date
03/22/2007
Last updated
07/08/2007
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