MS. Chellisa Pauline Mata, PT

NPI #1255655528 in Bryan, Texas

Provider Information

NPI Number: 1255655528
Entity Type: Individual
Name: MS. Chellisa Pauline Mata, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 16, 2010
Last Updated: Apr 11, 2013

Practice Location

Address: 1318 MEMORIAL DR
City: Bryan
State: Texas
ZIP Code: 77802-5215
Phone: (979) 776-2872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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