MS. Desiree Ann Mata, PT
NPI #1235598392 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1235598392
- Entity Type
- Individual
- Name
- MS. Desiree Ann Mata, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Feb 17, 2016
- Last Updated
- Feb 17, 2016
Practice Location
- Address
- 1710 NE FAIRVIEW AVE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-3877
- Phone
- (541) 479-2606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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| Bruce Balcita JR., DPT |
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