| Doctor Name: | MR. MATTHEW PULISIC |
| NPI Number: | 1245209188 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT MS OCS |
| License Number: | 2305003929 |
| Business Practice Address: | 3805 Cutshaw Ave Suite 299 Richmond, VA - 23230 |
| Business Phone Number: | 8043401193 |
| Business Fax Number: | 8043401930 |
| Mailing Address: | 3805 Cutshaw Ave, Suite 299 RICHMOND |
| State: | VA |
| Postal Code: | 23230 |
| Phone Number: | 8043401193 |
| Fax Number: | 8043401930 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305003929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |