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Individual

MR. MATTHEW THOMAS FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.P.T.

Contact information

Practice address
10850 DOVER ST, STE 600, WESTMINSTER, CO 80021-2652
(720) 434-9119
Mailing address
10850 DOVER ST, STE 600, WESTMINSTER, CO 80021-2652
(720) 434-9119

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4748
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4748
PHYSICAL THERAPIST LICENS
CO
Enumeration date
03/27/2007
Last updated
08/08/2016
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