Individual
MATTHEW R CANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MTC
Contact information
Practice address
450 W STATE ST STE 270, EAGLE, ID 83616-6974
(925) 856-7007
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
42444
CA
225100000X
Physical Therapist
Primary
PT-4887
ID
Other
Enumeration date
03/31/2015
Last updated
02/27/2023
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