Matthew Fothergill

NPI #1083187025 in Woburn, Massachusetts

Provider Information

NPI Number: 1083187025
Entity Type: Individual
Name: Matthew Fothergill
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 2, 2019
Last Updated: Jan 2, 2019

Practice Location

Address: 201 MAIN ST UNIT 35
City: Woburn
State: Massachusetts
ZIP Code: 01801-5057
Phone: (781) 996-8916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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