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1902584014
MATTHEW WALLER
FORT COLLINS, CO
NPI
1902584014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL.0019225)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
MATTHEW WALLER DPT
375 E HORSETOOTH RD BLDG 4
FORT COLLINS, CO 80525-3155
Phone number: 970-286-2868
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Mailing Address
MATTHEW WALLER DPT
375 E HORSETOOTH RD BLDG 4
FORT COLLINS, CO 80525-3155
Phone number: 970-286-2868
Copy
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