Individual
MATTHEW THOMAS WOLLASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3128 SANTA RITA RD, STE A, PLEASANTON, CA 94566-8300
(925) 350-4742
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2888
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT25955
CA
Other
Enumeration date
05/03/2007
Last updated
07/29/2019
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