NPI | 1700964962 |
---|---|
Other Name | TONY MATULIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31004018A) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NC 5671) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2021-09-10 |