MR. Matthew Brostrom, MPT, CERT. MDT
NPI #1356400808 in South Lyon, Michigan
Provider Information
- NPI Number
- 1356400808
- Entity Type
- Individual
- Name
- MR. Matthew Brostrom, MPT, CERT. MDT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- MPT, CERT. MDT
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Mar 8, 2011
Practice Location
- Address
- 22180 PONTIAC TRL
- Address 2
- STE. E
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-9097
- Phone
- (248) 446-0155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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