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Individual

J MATTHEW HANLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, CERT, MDT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000534
DE
225100000X
Physical Therapist
PT0052927L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000037609
DE
01
5707453
AETNA PROVIDER ID
DE
01
S53652
BCBS PROVIDER ID
DE
Enumeration date
05/31/2005
Last updated
09/30/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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