Individual
MR. SCOTT MATASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
48119 SANDY RIDGE DR, MACOMB, MI 48044-5922
(734) 347-3807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005807
MI
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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