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DR. MATTHEW AUDIA PT, DPT, CMP

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1215107115

Individual Registrant:
DR. MATTHEW  AUDIA PT, DPT, CMP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5963 LA PLACE CT STE 109  CARLSBAD, CA 92008 US
Tel: 617-669-1071  Fax: --

Contact information for business:
5963 LA PLACE CT STE 109  CARLSBAD, CA 92008-8822 US
Tel: 617-669-1071  Fax: --

Registration Information:
NPI: 1215107115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MA17240
Y2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA34627

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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