Matthew S Mandeville, PT,ATC

NPI #1992748321 in Huntsville, Alabama

Provider Information

NPI Number: 1992748321
Entity Type: Individual
Name: Matthew S Mandeville, PT,ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT,ATC
Enumeration Date: Jun 14, 2006
Last Updated: Feb 16, 2011

Practice Location

Address: 927 FRANKLIN ST SE
City: Huntsville
State: Alabama
ZIP Code: 35801-4306
Phone: (256) 428-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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