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NPI Code Detail

MEDICARE: MR. MATTHEW EAKINS SEABROOK PT, MS

MEDICARE: MR. MATTHEW EAKINS SEABROOK PT, MS
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
1225100000XPhysical TherapistDAPT000700PA
2225100000XPhysical TherapistPT008665LPA

General Provider Information

NPI Number : 1881616779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW EAKINS SEABROOK PT, MS
Provider Business Mailing Address
First Line : 1650 LYNDON FARM CT STE 300
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5005
Country : US
Telephone Number : 856-677-4000
Fax Number : 856-234-3014
Provider Business Practice Location Address
First Line : 1075 VIRGINIA DR STE 200
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-3108
Country : US
Telephone Number : 215-619-4545
Fax Number : 215-619-4555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 11/09/2022

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