Individual
DANIEL JOSEPH MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT, OCS, CSCS
Contact information
Practice address
533 W HOWARD AVE STE C1, DECATUR, GA 30030
(470) 355-2106
Mailing address
722 MERCER ST SE, ATLANTA, GA 30312
(470) 355-2106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011194
GA
Other
Enumeration date
09/16/2010
Last updated
09/07/2018
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