Individual
DR. AMANDA MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5210 N SERVICE RD, SAINT PETERS, MO 63376-3950
(636) 278-3132
Mailing address
121 CHANTRY DR, O FALLON, MO 63366-7565
(217) 617-1271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020004378
MO
Other
Enumeration date
02/06/2020
Last updated
10/05/2021
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