Individual
CHRISTOPHER ROBERT MATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5690 SHAFFER RD, DU BOIS, PA 15801-3870
(814) 943-8164
Mailing address
5690 SHAFFER RD, DU BOIS, PA 15801-3870
(814) 943-8164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010956L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT010956L
PT LISCENSE
PA
Enumeration date
06/29/2010
Last updated
09/24/2024
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