Individual
MATTHEW WILLIAM DARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
917 ARIEBILL ST SW, WYOMING, MI 49509-3919
(906) 364-9555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501302163
MI
2251X0800X
Orthopedic Physical Therapist
Primary
16896-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287420
—
WI
Enumeration date
10/05/2022
Last updated
12/20/2024
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