Individual
MATT MALTBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1668 COUNTY ROAD 837, BOAZ, AL 35957-7962
(256) 558-6968
Mailing address
1668 COUNTY ROAD 837, BOAZ, AL 35957-7962
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2628
SC
225200000X
Physical Therapy Assistant
Primary
5135
AL
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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