MR. Larry Wayne Mattocks JR., PT

NPI #1588644546 in Hermitage, Pennsylvania

Provider Information

NPI Number: 1588644546
Entity Type: Individual
Name: MR. Larry Wayne Mattocks JR., PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 18, 2006
Last Updated: May 19, 2008

Practice Location

Address: 1599 NORTH HERMITAGE RD
City: Hermitage
State: Pennsylvania
ZIP Code: 16148
Phone: (724) 962-7920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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