Individual
MR. ANTHONY MATULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004018A
IN
282N00000X
General Acute Care Hospital
5671
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5671
STATE LICENSE
NC
Enumeration date
11/02/2006
Last updated
09/10/2021
Update your record
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