Matthew R Candau, PT, DPT, MTC Valid NPI

Individual provider · Physical Therapist · Eagle, ID

NPI

1457746067

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT-4887 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2015-03-31

Last updated

2023-02-27