Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1083157093 |
---|---|
Provider Name | Dr. Matthew C Klingler |
First Address | Glendora, CA 91741-6909 |
Second Address | Glendora, CA 91741-6909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2016 |
Last Update Date | 27/04/2017 |