Individual
MRS. MICHELE LOUISE MATEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1118 WOODWARD DRIVE, GREENSBURG, PA 15601-6414
(724) 836-4424
(724) 836-4613
Mailing address
1100 SHAWNEE ROAD, LIMA, OH 45805
(419) 999-2030
(419) 991-0909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE002793L
PA
225200000X
Physical Therapy Assistant
Primary
TEI001011
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007726730009
—
PA
Enumeration date
09/26/2007
Last updated
12/03/2015
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