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Individual

MR. MATTHEW GREENROYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
Mailing address
4701 MILLSTONE DR, OKLAHOMA CITY, OK 73179-2816
(405) 420-3079

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3909
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20009530A
OK
Enumeration date
02/14/2007
Last updated
07/27/2011
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