Individual
ERIN MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1089 MUSTANG ROAD, LAKE ARIEL, PA 18436
(570) 689-3979
Mailing address
1089 MUSTANG RD, LAKE ARIEL, PA 18436-8097
(570) 689-3979
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001218
PA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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