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DR. MATTHEW AUDIA PT, DPT, CMP
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1215107115
Individual Registrant:DR. MATTHEW AUDIA PT, DPT, CMP
Gender: M
Not Sole Proprietor
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: --
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: --
Tel: 617-669-1071 Fax: --
Registration Information:
NPI: 1215107115
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | MA | 17240 |
| Y | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 34627 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
