Organization
MATRIX REHABILITATION, INC.
Active
Other names
Advanced Physical Therapy-Lodi
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE FLECK-POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
840 S FAIRMONT AVE, SUITE 5, LODI, CA 95240-5105
(209) 368-8870
(209) 368-2253
Mailing address
2300 COIT RD, SUITE 300, PLANO, TX 75075-3768
(469) 467-8705
(267) 321-2550
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
05/25/2010
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