Individual
MATTHEW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1814
TN
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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