Individual
NAOE MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5000 14TH AVE N, ST PETERSBURG, FL 33710-6023
(727) 455-4997
Mailing address
5000 14TH AVE N, ST PETERSBURG, FL 33710-6023
(727) 455-4997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21358
FL
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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