Individual
MATTHEW PROUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 7TH AVE S, ESCANABA, MI 49829-1131
(906) 786-0408
Mailing address
329 S 14TH ST APT 1, ESCANABA, MI 49829-3421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006055
MI
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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