Individual
MS. MARY MATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
943 PINE LOG RD, AIKEN, SC 29803-7330
(803) 649-9797
Mailing address
465 GREENWICH DR, AIKEN, SC 29803-6541
(386) 846-7062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10091
SC
225100000X
Physical Therapist
PT14465
FL
Other
Enumeration date
09/01/2009
Last updated
04/09/2020
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