| Doctor Name: | MATTHEW M SHIOMICHI |
| NPI Number: | 1093060311 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | 24103 |
| Business Practice Address: | 17904 Georgia Avenue Suite 215 Olney, MD - 20832 |
| Business Phone Number: | 3012321050 |
| Business Fax Number: | 3012321044 |
| Mailing Address: | 17904 Georgia Avenue, Suite 215 OLNEY |
| State: | MD |
| Postal Code: | 20832 |
| Phone Number: | 3012321050 |
| Fax Number: | 3102321044 |
| NPI Enumeration Date: | 07/24/2012 |
| NPI Last Update Date: | 10/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 24103 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |