Individual
MR. JOSEPH CLARET REMIGIO MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
26901 US 119S, BELFRY, KY 41514
(606) 237-1460
(606) 237-1461
Mailing address
110 WILSON LOOP, SOUTH WILLIAMSON, KY 41503-3966
(606) 257-5325
(606) 237-1461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005356
KY
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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