Individual
MR. MATTHEW VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5226 N PHOENIX AVE, FRESNO, CA 93723-4066
(805) 625-0015
Mailing address
5226 N PHOENIX AVE, FRESNO, CA 93723-4066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11106
CA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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