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1588644546
LARRY WAYNE MATTOCKS
HERMITAGE, PA
NPI
1588644546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT007303L)
Enumeration Date
2006-01-18
Last Update Date
2008-05-19
Business Address
MR. LARRY WAYNE MATTOCKS PT
1599 NORTH HERMITAGE RD
HERMITAGE, PA 16148
Phone number: 724-962-7920
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Mailing Address
MR. LARRY WAYNE MATTOCKS PT
1599 N HERMITAGE RD
HERMITAGE, PA 16148-3180
Phone number: 724-962-7920
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