Individual
ELEANOR MATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6055 E WASHINGTON BLVD, SUITE 900, COMMERCE, CA 90040-2418
(323) 346-0960
(323) 346-0966
Mailing address
38533 31ST ST E, APT. E, PALMDALE, CA 93550-4309
(661) 947-5376
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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