Matthew Colin Mandle, DPT
Physical Medicine & Rehabilitation in Machias, ME. Individual provider (NPI-1).
NPI number1801596994
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1801596994
- Entity type
- Individual (NPI-1)
- Name
- Matthew Colin Mandle
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2023
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT6458 | ME | Yes |
Practice location
11 Hospital DrMachias, ME 04654-3325
Phone 207-255-3356
Mailing address
105 Taunton DrSullivan, ME 04664-3009
Phone 201-962-6574
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