Didonato, Matthew
Didonato, Matthew is an individual health care provider with primary practice located at 8750 Tallon Ln Ne , Lacey WA 98516-6608. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Didonato, Matthew can be contacted via phone (360) 456-1072.Contact Information
Primary practice address
8750 Tallon Ln Ne
Lacey WA 98516-6608
Phone: (360) 456-1072
Fax: (360) 459-9954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT60467500 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT60467500 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT60467500 | Washington |
Profile Details
| NPI number | 1326443227 |
|---|---|
| LBN Legal business name | Didonato, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2014 |
| Last updated | Nov 4th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326443227 | NPPES |
| Washington | Other | PT60467500 | STATE LICENSE |
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