DESIREE ANN MATA

GRANTS PASS, OR
NPI1235598392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  06567)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
Ms. DESIREE ANN MATA PT
1710 NE FAIRVIEW AVE
GRANTS PASS, OR 97526-3877
Phone number: 541-479-2606
Mailing Address
Ms. DESIREE ANN MATA PT
406 NE SILVERWOOD PL
GRANTS PASS, OR 97526-2226
Phone number: 541-450-2496
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