MATTHEW COREY MATLOCK

DAVIE, FL
NPI1013994417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA18860)
Enumeration Date2005-12-27
Last Update Date2007-07-08
Business Address
-- MATTHEW COREY MATLOCK PTA
4691 S UNIVERSITY DR
DAVIE, FL 33328-3817
Phone number: 954-434-7246
Mailing Address
-- MATTHEW COREY MATLOCK PTA
4691 S UNIVERSITY DR
DAVIE, FL 33328-3817
Phone number: 954-434-7246
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