Individual
MRS. NICOLE DANA MATYSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 COURTRIGHT ST, WILKES BARRE, PA 18702-2526
(570) 819-4225
(570) 819-4266
Mailing address
300 COURTRIGHT ST, WILKES BARRE, PA 18702-2526
(570) 819-4225
(570) 819-4266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002154
PA
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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