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NPI Code Detail

MEDICARE: MATTHEW HIGLEY DPT

MEDICARE: MATTHEW HIGLEY DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistJ1-0003139DE

General Provider Information

NPI Number : 1255755112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW HIGLEY DPT
Provider Business Mailing Address
First Line : 101 GARDEN OF EDEN RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-1511
Country : US
Telephone Number : 302-477-1536
Fax Number :
Provider Business Practice Location Address
First Line : 101 GARDEN OF EDEN RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-1511
Country : US
Telephone Number : 302-477-1536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2014
Last Update Date : 02/13/2014

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