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Individual

DONNA L DEMATTIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
187 THOMAS JOHNSON DR, SUITE 6, FREDERICK, MD 21702-4503
(301) 663-1157
(301) 663-1229
Mailing address
11671 FAIRMONT PL, IJAMSVILLE, MD 21754-9140
(301) 831-9459

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14602
MD
225100000X
Physical Therapist
PT544
DC

Other

Enumeration date
03/15/2013
Last updated
03/15/2013
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