Individual
MATTHEW MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
1800 GASKINS RD, RICHMOND, VA 23238-4324
(516) 745-8050
Mailing address
12132 MANOR WALK DR, GLEN ALLEN, VA 23059-7161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214601
VA
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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