MR. Matthew Lee Debolt, PTA

NPI #1730503327 in Roanoke, Indiana

Provider Information

NPI Number
1730503327
Entity Type
Individual
Name
MR. Matthew Lee Debolt, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 18, 2014
Last Updated
Feb 18, 2014

Practice Location

Address
11015 YALUMBA PASS
State
Indiana
ZIP Code
46783-8931
Phone
(260) 402-1968

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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