Individual
DR. MATTHEW RICHARD PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3124 N SWAN RD, TUCSON, AZ 85712-1227
(520) 348-1742
Mailing address
8845 SOLAR RD, FLAGSTAFF, AZ 86004-1333
(928) 699-6248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32183
AZ
225200000X
Physical Therapy Assistant
9226A
AZ
Other
Enumeration date
03/21/2011
Last updated
01/25/2022
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