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
State
Oregon
ZIP Code
97526-3877
Phone
(541) 479-2606

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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