Individual
DR. HERIBERTO MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
537 N 6TH AVE, TUCSON, AZ 85705-8371
(520) 889-1328
(520) 889-2355
Mailing address
537 N 6TH AVE, TUCSON, AZ 85705-8371
(520) 889-1328
(520) 889-2355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-013448
AZ
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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