Individual
ANDREW V MATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3506 THOMAS DRIVE, LAKEVILLE, NY 14480
(585) 346-0060
(585) 346-0108
Mailing address
3506 THOMAS DRIVE, LAKEVILLE, NY 14480
(585) 346-0060
(585) 346-0108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012202
NY
Other
Enumeration date
02/28/2006
Last updated
07/24/2017
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