Individual
MATTHEW JAMES BAUDENDISTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3609 MISSION AVE, SUITE C, CARMICHAEL, CA 95608-2955
(916) 487-4681
Mailing address
3609 MISSION AVE, SUITE C, CARMICHAEL, CA 95608-2955
(916) 487-4681
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
291948
CA
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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