Individual
DR. MATTHEW MORGAN SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4637 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6024
(504) 525-2225
(504) 324-8276
Mailing address
PO BOX 309, LA PLACE, LA 70069-0309
(504) 525-2225
(504) 324-8276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10306
LA
2251E1200X
Ergonomics Physical Therapist
10306
LA
2251G0304X
Geriatric Physical Therapist
10306
LA
2251X0800X
Orthopedic Physical Therapist
10306
LA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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