Individual
CONSTANCE EILEEN MATOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4041 LONE TREE WAY SUITE # 106, ANTIOCH, CA 94531
(925) 754-6262
(925) 754-2198
Mailing address
4041 LONE TREE WAY STE 106, ANTIOCH, CA 94531-6208
(925) 754-6262
(925) 754-2198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3037
CA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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