Individual
MATTHEW MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1305 FREMONT CT, BURNSVILLE, MN 55306-5469
(952) 240-2051
Mailing address
1305 FREMONT CT, BURNSVILLE, MN 55306-5469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8402
MN
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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