Individual
MATTHEW RICHARD VANSLYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
180 WINGO WAY STE 106, MOUNT PLEASANT, SC 29464-1810
(843) 352-3488
Mailing address
1425 THAYER PL, MOUNT PLEASANT, SC 29466-9027
(518) 332-1602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9618
SC
Other
Enumeration date
04/18/2013
Last updated
07/08/2022
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