Individual
MATTHEW STEPHEN ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-8800
(360) 636-3421
Mailing address
3858 PENNSYLVANIA ST APT 55, LONGVIEW, WA 98632-5236
(360) 281-4748
(360) 636-3421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8310
OR
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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