Individual
MATTHEW MILLER CLAMPITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12424 WILSHIRE BLVD STE 101, LOS ANGELES, CA 90025-1064
(310) 826-2977
Mailing address
2820 FAUST AVE, LONG BEACH, CA 90815-1341
(562) 552-5026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51418
CA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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