Individual
MR. MATTHEW V NOAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1948 MESQUITE AVE, SUITE 101, LAKE HAVASU CITY, AZ 86403-5777
(928) 854-4776
(928) 854-4857
Mailing address
1948 MESQUITE AVE, SUITE 101, LAKE HAVASU CITY, AZ 86403-5777
(928) 854-4776
(928) 854-4857
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8959
AZ
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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