SHANE ANTHONY MATA

LIVINGSTON, NJ
NPI1134636202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01754500)
Enumeration Date2018-01-10
Last Update Date2018-03-21
Business Address
Dr. SHANE ANTHONY MATA PT, DPT
600 S LIVINGSTON AVE
LIVINGSTON, NJ 07039-5419
Phone number: 973-992-0733
Mailing Address
Dr. SHANE ANTHONY MATA PT, DPT
600 S LIVINGSTON AVE STE 210
LIVINGSTON, NJ 07039-5415
Phone number: 973-992-0733
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