Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW MANUEL CARRILLO, OWNER
Active Sole ProprietorMR. 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 AVELAUREL, MS, 394404345Browse 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.