Individual
DR. MATTHEW FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5373 W LAKE PARK BLVD, WEST VALLEY CITY, UT 84120-8208
(801) 902-7940
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13961180-2401
UT
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/05/2021
Last updated
07/25/2024
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