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Individual

DR. MATHEW THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC/L, CEAS

Contact information

Practice address
5970 S COOPER RD, #4, CHANDLER, AZ 85249-5393
(480) 895-0965
(877) 231-1174
Mailing address
4960 S GILBERT RD, SUITE 1-138, CHANDLER, AZ 85249-5982
(480) 895-0965
(877) 231-1174

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8030
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083928766
GROUP NPI
AZ
Enumeration date
11/13/2008
Last updated
09/05/2013
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