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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW MANUEL CARRILLO, OWNER

Active Sole Proprietor

MR. MATTHEW MANUEL CARRILLO, OWNER is a Physical Therapist Assistant healthcare provider located in LAUREL, Mississippi. NPI 1356386288 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · LAUREL, MS

Registration Details

NPI Number
1356386288
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2006 (20.176368563434 yrs)
Last Updated
Nov 7, 2007
License
07014/11.1 (MS)
Sole Proprietor
Yes

Practice Information

Address
434 S 13TH AVE
LAUREL, MS, 394404345
Browse MS providers · Browse ZIP 39440
Phone
6016490001
Fax
6016490035
Primary Specialty
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.