Individual
MATTHEW S MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,ATC
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 428-3000
(256) 428-3003
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 428-3000
(256) 428-3003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH3087
AL
Other
Enumeration date
06/14/2006
Last updated
02/16/2011
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