Terry Kevin Mattice, PTA

NPI #1790902880 in Ithaca, New York

Provider Information

NPI Number
1790902880
Entity Type
Individual
Name
Terry Kevin Mattice, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2230 N TRIPHAMMER RD
City
Ithaca
ZIP Code
14850-6513
Phone
(607) 266-5316

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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