Individual
NATHAN MATTIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(800) 378-7597
(877) 399-5578
Mailing address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(800) 378-7597
(877) 399-5578
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
491938
FL
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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