Individual
MR. MATTHEW DAYBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-9570
Mailing address
325 HANSON ST, WINNEMUCCA, NV 89445-3607
(775) 625-2222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-685
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003407015
—
NV
Enumeration date
11/28/2006
Last updated
03/21/2008
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