Carlos Mata, PT

NPI #1285858498 in Wayland, Michigan

Provider Information

NPI Number: 1285858498
Entity Type: Individual
Name: Carlos Mata, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 709 W SUPERIOR ST
City: Wayland
State: Michigan
ZIP Code: 49348-1226
Phone: (269) 792-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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