Provider Demographics
NPI:1619121860
Name:NEAL, MATTHEW DAVID (DPT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:DAVID
Last Name:NEAL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 G ST
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-1826
Mailing Address - Country:US
Mailing Address - Phone:617-201-7820
Mailing Address - Fax:781-583-5551
Practice Address - Street 1:14 PLAIN ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-7032
Practice Address - Country:US
Practice Address - Phone:617-201-7820
Practice Address - Fax:781-583-5551
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist