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Matthew Chase Ferguson, PTA

Physical Therapy Assistant in Richardson, TX. Individual provider (NPI-1).

NPI number1922575299
StatusActive
Last updated in NPPESOct 25, 2018

Details

NPI
1922575299
Entity type
Individual (NPI-1)
Name
Matthew Chase Ferguson
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 25, 2018
Last updated
Oct 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2142878TXYes

Practice location

1111 Rockingham Dr
Richardson, TX 75080-4309

Phone 971-231-8833

Mailing address

290 W Lake Park Rd Apt 925
Lewisville, TX 75057-3888

Phone 903-738-3334

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