Individual
MATTHEW DEAN SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE 1, VIENNA, WV 26105-4100
(304) 865-6777
(304) 865-6780
Mailing address
415 36TH ST, SUITE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002965
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061221
—
OH
05
—
3810022896
—
WV
Enumeration date
08/25/2011
Last updated
05/27/2016
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