Individual
ANN VIRGINIA MATTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 NORTH ST, BENNINGTON, VT 05201-1937
(802) 447-6548
Mailing address
180 CROOKED PATH, ARLINGTON, VT 05250-4470
(802) 375-2558
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0112038
VT
Other
Enumeration date
11/04/2015
Last updated
01/24/2016
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