Individual
MATTHEW MARSH-LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12300 PERCIVAL ST, CHESTER, VA 23831-4431
(804) 731-6183
Mailing address
12300 PERCIVAL ST, CHESTER, VA 23831-4431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605709
VA
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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