Matthew Buck, PT
Physical Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1760610331
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1760610331
- Entity type
- Individual (NPI-1)
- Name
- Matthew Buck
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2009
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | TEMP LIC | – | Yes |
| 225100000X | Physical Therapist | 299172 | CA |
Practice location
16935 W Bernardo Dr Ste 180San Diego, CA 92127-1621
Phone 858-217-5837
Mailing address
2853 S Sossaman Rd Ste A106Mesa, AZ 85212-9625
Phone 480-373-9700
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