Individual
MATT MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7061 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-6927
(334) 396-2110
(334) 396-2115
Mailing address
PO BOX 242278, MONTGOMERY, AL 36124-2278
(334) 396-3273
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT011483
GA
225100000X
Physical Therapist
Primary
PTH7084
AL
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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