Individual
AMANDA MATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5803 W NORTHERN AVE STE 110, GLENDALE, AZ 85301-1362
(623) 295-3699
(623) 322-0654
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTLP.0000137
CO
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
05/30/2024
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