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Individual
MRS. TONYA M GARES-MATNEY
Active
Individual
MRS. TONYA M GARES-MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT CERTIFIED MDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT252631
MEDICARE PTAN
CA
01
—
P00113617
RAILROAD MEDICARE PTAN
CA
01
—
ZZZ21295Z
MEDICARE GROUP PTAN
CA
Enumeration date
08/16/2005
Last updated
02/15/2010
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