Individual
LUIS MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4666 FOUNTAINS DR S, LAKE WORTH, FL 33467-5064
(561) 596-8684
Mailing address
4666 FOUNTAINS DR S, LAKE WORTH, FL 33467-5064
(561) 596-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24297
FL
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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