Individual
MRS. TONIA MARTA MATWIJCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T..
Contact information
Practice address
104 GLEN OAK BLVD, SUITE 120, HENDERSONVILLE, TN 37075-6423
(615) 338-4391
Mailing address
104 GLEN OAK BLVD, SUITE 120, HENDERSONVILLE, TN 37075-6423
(615) 338-4391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 7724
TN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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