Individual
MATTHEW THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3618 W CHICAGO ST, CHANDLER, AZ 85226-3828
(602) 820-5235
(602) 820-5235
Mailing address
3618 W CHICAGO ST, CHANDLER, AZ 85226-3828
(602) 820-5235
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
9266A
AZ
225200000X
Physical Therapy Assistant
Primary
9266A
AZ
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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