Provider Demographics
NPI:1720459852
Name:MATTHEWS, PIERRE RENALDO (DPT)
Entity Type:Individual
Prefix:MR
First Name:PIERRE
Middle Name:RENALDO
Last Name:MATTHEWS
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 1:1684 E GUDE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5304
Mailing Address - Country:US
Mailing Address - Phone:301-978-7873
Mailing Address - Fax:301-978-7878
Practice Address - Street 1:1684 E GUDE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5304
Practice Address - Country:US
Practice Address - Phone:301-978-7873
Practice Address - Fax:301-978-7878
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25676225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist