Individual
MATTHEW PETROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3 FEDERAL RD STE 100, BROOKFIELD, CT 06804-2505
(203) 456-1010
(203) 456-1011
Mailing address
PO BOX 77, CHITTENANGO, NY 13037-0077
(315) 510-3372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045034-01
NY
225100000X
Physical Therapist
14185
CT
Other
Enumeration date
12/30/2019
Last updated
09/13/2023
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