Provider Demographics
NPI:1083157093
Name:KLINGLER, MATTHEW C (DPT)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:C
Last Name:KLINGLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MINNESOTA AVE
Mailing Address - Street 2:APT. 31
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-6909
Mailing Address - Country:US
Mailing Address - Phone:916-580-4306
Mailing Address - Fax:
Practice Address - Street 1:200 N MINNESOTA AVE
Practice Address - Street 2:APT. 31
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-6909
Practice Address - Country:US
Practice Address - Phone:916-580-4306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic