Matthew Ntomoo Lo, PTA

NPI #1811482201 in Grayson, Georgia

Provider Information

NPI Number: 1811482201
Entity Type: Individual
Name: Matthew Ntomoo Lo, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 27, 2018
Last Updated: Jul 31, 2018

Practice Location

Address: 2065 GRAYSON HWY STE B
City: Grayson
State: Georgia
ZIP Code: 30017
Phone: (678) 376-0213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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