Individual
MATTHEW DICONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
99 LONG CT, SUITE 103, THOUSAND OAKS, CA 91360-6066
(805) 558-4241
Mailing address
99 LONG CT, SUITE 103, THOUSAND OAKS, CA 91360-6066
(805) 558-4241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
38895
CA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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