Individual
MR. RICHARD MATA ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
118 FOREST DR., MARTIN, TN 38237-3639
(931) 232-4555
Mailing address
118 FOREST DR, MARTIN, TN 38237-3639
(731) 587-3692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2725
TN
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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