Individual
MATTHEW DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-6477
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-6477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5143
OR
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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