William Blake Matlock, MSPT

NPI #1013228295 in Bend, Oregon

Provider Information

NPI Number: 1013228295
Entity Type: Individual
Name: William Blake Matlock, MSPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Jun 23, 2010
Last Updated: Apr 14, 2016

Practice Location

Address: 1693 SW CHANDLER AVE
Address 2: SUITE 140
City: Bend
State: Oregon
ZIP Code: 97702-3236
Phone: (541) 390-0523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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