NPI 1902630312

Nino a Matias, PTA

Practitioner Physical Therapy Assistant Tamuning, GU

Practice location

Address: 396 Chalan San Antonio Bri Building, Tamuning, GU 96913
Phone: (671) 619-8746
Mailing address: PO Box 9663, Tamuning, GU 96931-5663

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA07 (GU)

Other Physical Therapy Assistant providers in Guam →

Registry record

NPI: 1902630312
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2024
Record last updated: 28 Aug 2024

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.