Individual
MR. MATTHEW RYAN NETHERCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
801 S ORLANDO AVE, WINTER PARK, FL 32789-4867
(407) 691-7687
Mailing address
801 S ORLANDO AVE, WINTER PARK, FL 32789-4867
(407) 691-7687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20883
FL
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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