MATTHEW DIFEDE

FORT LIBERTY, NC
NPI1275932568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501018737)
Enumeration Date2014-08-22
Last Update Date2024-04-09
Business Address
MATTHEW DIFEDE
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310-4030
Phone number: 631-275-6237
Mailing Address
MATTHEW DIFEDE
9697 HEATHER LN
MANHATTAN, KS 66502-1884
Phone number: 631-275-6237