NPI 1639230162

Matilda Antionette Page, ITS

Practitioner Rehabilitation Practitioner Fayetteville, NC

Practice location

Address: 6958 Nexus CT Suite 102, Fayetteville, NC 28304-2642
Phone: (910) 423-5622
Fax: (910) 423-5538
Mailing address: 914 Drew CT, Fayetteville, NC 28311-0348

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in North Carolina →

Registry record

NPI: 1639230162
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.