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Matthew Robert White, PT

Physical Therapist in Antioch, CA. Individual provider (NPI-1).

NPI number1013078617
StatusActive
Last updated in NPPESJan 3, 2022

Details

NPI
1013078617
Entity type
Individual (NPI-1)
Name
Matthew Robert White
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Dec 13, 2006
Last updated
Jan 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT 15859CAYes

Practice location

3400 Delta Fair Blvd
Antioch, CA 94509-4004

Phone 925-779-5442

Mailing address

3400 Delta Fair Blvd
Antioch, CA 94509-4004

Phone 925-779-5442

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