Individual
RICHELLE MATIENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3300 E SOUTH ST STE 203, LAKEWOOD, CA 90805-4589
(562) 512-3320
Mailing address
8791 WALKER ST APT 34, CYPRESS, CA 90630-5916
(714) 249-8132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52844
CA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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