Individual
MATTHEW MARK CALABRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2237 SE 26TH LN, HOMESTEAD, FL 33035-1353
(786) 554-0002
Mailing address
PO BOX 343608, FLORIDA CITY, FL 33034-0608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18547
FL
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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