MRS. Tawana Nicole Mateo, PT

NPI #1346577392 in Roosevelt, New York

Provider Information

NPI Number: 1346577392
Entity Type: Individual
Name: MRS. Tawana Nicole Mateo, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 12, 2009
Last Updated: Nov 12, 2009

Practice Location

Address: 380 WASHINGTON AVE
City: Roosevelt
State: New York
ZIP Code: 11575-1845
Phone: (516) 378-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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