Organization
ALPHA FITNESS CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MATTA D.P.T. (OWNER/DOCTOR OF PHYSICAL THERAPY)
(412) 303-0866
Entity
Organization
Contact information
Practice address
95 ENTERPRISE ST, SUITE 115, ELIZABETH, PA 15037-2070
(412) 896-9661
(412) 896-9807
Mailing address
95 ENTERPRISE DRIVE, SUITE 115, ELIZABETH, PA 15037
(412) 896-9661
(412) 896-9807
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
DAPT001268
PA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT016509
PA
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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