Individual
MATT AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, CES
Contact information
Practice address
97 DELAWARE AVE, UNIONTOWN, PA 15401-3137
(724) 437-0556
Mailing address
115 EDGEWATER VLG APT 11, LATROBE, PA 15650-3840
(814) 525-9440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005702
PA
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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