Individual
NEIL GREGORY MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PES
Contact information
Practice address
4591 LARCH DR, C45, HARRISBURG, PA 17109-5110
(570) 401-2759
Mailing address
4591 LARCH DR, C45, HARRISBURG, PA 17109-5110
(570) 401-2759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004607
PA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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