Individual
MR. PHILLIP MATEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
BREWER HIGH SCHOOL, 79 PARKWAY SOUTH, BREWER, ME 04412
(207) 989-4140
Mailing address
47 PINE ST, ORONO, ME 04473-4049
(207) 866-4840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT64
ME
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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