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Individual

MATTHEW SCOTT DORMANN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2050 W MAIN, STE 4, RAPID CITY, SD 57702
(605) 342-9575
(605) 342-9592
Mailing address
2050 W MAIN, STE 4, RAPID CITY, SD 57702
(605) 342-9575
(605) 342-9592

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1317
SD

Other

Enumeration date
11/04/2005
Last updated
07/08/2007
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