Individual
MATTHEW COREY MATLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4691 S UNIVERSITY DR, DAVIE, FL 33328-3817
(954) 434-7246
(954) 434-8104
Mailing address
4691 S UNIVERSITY DR, DAVIE, FL 33328-3817
(954) 434-7246
(954) 434-8104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18860
FL
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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