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Individual

MATTHEW BRADLEY HENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1100 LIBERTY ST SE STE 100, SALEM, OR 97302-5385
(503) 500-5727
Mailing address
1100 LIBERTY ST SE STE 100, SALEM, OR 97302-5385
(503) 500-5727

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6457
OR

Other

Enumeration date
07/23/2010
Last updated
10/06/2023
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