Individual
MATTHEW CHARLES REESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
Mailing address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001173
WV
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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