Individual
MR. MATTHEW S DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
50 FOREST FALLS DR, SUITE 2, YARMOUTH, ME 04096-6937
(207) 846-8725
(207) 846-8728
Mailing address
50 FOREST FALLS DRIVE, SUITE 2, YARMOUTH, ME 04096
(207) 846-8725
(207) 846-8728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1176
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060023
ANTHEM BCBS
ME
01
—
2756063001
CIGNA
ME
01
—
626281
HARVARD PILGRIM
ME
Enumeration date
03/09/2006
Last updated
07/08/2007
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