Provider Demographics
NPI:1457669400
Name:HARRINGTON, MATTHEW J (PT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:J
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1125 40TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-1733
Mailing Address - Country:US
Mailing Address - Phone:580-256-2102
Mailing Address - Fax:580-256-1410
Practice Address - Street 1:1125 40TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-1733
Practice Address - Country:US
Practice Address - Phone:580-256-2102
Practice Address - Fax:580-256-1410
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist