Nohe Mata, PTA

NPI #1083141394 in Nampa, Idaho

Provider Information

NPI Number: 1083141394
Entity Type: Individual
Name: Nohe Mata, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 17, 2017
Last Updated: May 17, 2017

Practice Location

Address: 4301 GARRITY BLVD STE 103
City: Nampa
State: Idaho
ZIP Code: 83687-9222
Phone: (208) 463-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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