Individual
MATTHEW SAINOPULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
590 CENTRAL DR, SOUTHERN PINES, NC 28387-2841
(910) 246-1023
Mailing address
348 GROVE ST APT 2F, JERSEY CITY, NJ 07302-5927
(201) 275-4158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
009563
NY
225200000X
Physical Therapy Assistant
Primary
TA8246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA8246
PTA LICENSE
NC
Enumeration date
03/22/2021
Last updated
09/08/2023
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