Individual
MRS. GEHAN KADRI MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10901 CORPORATE CIR N, STE A, ST PETERSBURG, FL 33716-3722
(727) 328-8308
(727) 328-8338
Mailing address
1945 CARDAMON DR, TRINITY, FL 34655-5059
(727) 372-7609
(727) 372-7609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21805
FL
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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