MRS. Matilda Antionette Page, ITS
NPI #1639230162 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1639230162
- Entity Type
- Individual
- Name
- MRS. Matilda Antionette Page, ITS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Credential
- ITS
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6958 NEXUS CT
- Address 2
- SUITE 102
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28304-2642
- Phone
- (910) 423-5622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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