Doctor Name: | MR. MATTHEW J DUMAS |
NPI Number: | 1063476273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 005306 |
Business Practice Address: | 39 Kennedy Dr Putnam, CT - 062601939 |
Business Phone Number: | 8609632174 |
Business Fax Number: | 8609632178 |
Mailing Address: | 26 Oakridge Dr, BROOKLYN |
State: | CT |
Postal Code: | 062341830 |
Phone Number: | 8607791274 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 005306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |