Individual
MATTHEW NTOMOO LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2065 GRAYSON HWY STE B, GRAYSON, GA 30017
(678) 376-0213
(678) 376-0215
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004052
GA
Other
Enumeration date
06/27/2018
Last updated
07/31/2018
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