Individual
MATTHEW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2073 MOJONNIER RD, WALLA WALLA, WA 99362-7237
(509) 842-6624
Mailing address
2073 MOJONNIER RD, WALLA WALLA, WA 99362-7237
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P160320702
WA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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