Individual
HEATHER G. MATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
Mailing address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04907
LA
Other
Enumeration date
07/03/2006
Last updated
03/12/2008
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