Individual
THYRA ISABEL MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
100 ONEIL BLVD, ATTLEBORO, MA 02703-4250
(508) 316-1103
(508) 342-1945
Mailing address
100 ONEIL BLVD, ATTLEBORO, MA 02703-4250
(508) 342-1103
(508) 342-1945
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
014402
NY
363AS0400X
Surgical Physician Assistant
Primary
PA5665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA5665
MA LICENSE
MA
Enumeration date
10/28/2010
Last updated
02/21/2025
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