Individual
HEATHER L MATISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 STACIE DR, HAZLETON, PA 18201-5690
(570) 453-5100
Mailing address
343 RIDGE ST, FREELAND, PA 18224-2021
(570) 766-2414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001862
PA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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