Individual
ANNE ELIZABETH MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,P.T.
Contact information
Practice address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 330-8627
(360) 330-8786
Mailing address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 330-8627
(360) 330-8786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186324
L & I
WA
01
—
4837MA
REGENCE
WA
05
—
8395162
—
WA
01
—
PT00005562
LICENSE NUMBER
WA
Enumeration date
12/08/2006
Last updated
11/21/2007
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