Individual
MR. MATTHEW RYAN ROCKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5780 OSAGE BEACH PKWY, 220, OSAGE BEACH, MO 65065-3188
(573) 693-9128
Mailing address
5780 OSAGE BEACH PKWY, 220, OSAGE BEACH, MO 65065-3188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010037290
MO
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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