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Individual

LINDSAY MARIE MATOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 N BROADWAY ST, POTEAU, OK 74953-2009
(918) 962-0198
Mailing address
24661 WOLF MOUNTAIN RD, WISTER, OK 74966-2772
(479) 402-4711

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4660
AR

Other

Enumeration date
08/06/2021
Last updated
08/24/2023
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