Individual
MRS. COURTNEY OWEN MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1300 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 378-9968
Mailing address
10933 GRANADA RD, RICHMOND, VA 23235-3607
(804) 320-6399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204730
VA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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