Organization
CLINICAL FITNESS 101 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE L MATTA DPT (FOUNDER/CEO)
(561) 247-0745
Entity
Organization
Contact information
Practice address
3344 GONDOLIER WAY, LAKE WORTH, FL 33462-3622
(561) 247-0745
Mailing address
3344 GONDOLIER WAY, LAKE WORTH, FL 33462-3622
(561) 247-0745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
02/15/2023
Last updated
05/22/2023
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