Individual
MATTHEW JAMES DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10272 CAUSEWAY BLVD, TAMPA, FL 33619-6606
(813) 542-2619
Mailing address
10272 CAUSEWAY BLVD, TAMPA, FL 33619-6606
(813) 542-2619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29408
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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