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Mr. NINO A MATIAS PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1902630312
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
396 CHALAN SAN ANTONIO BRI BUILDING, TAMUNING, GU, 96913
Phone
(671) 619-8746

Specialties & Taxonomies

Physical Therapy Assistant Primary License: GU #PTA07

All Addresses

LOCATION

396 CHALAN SAN ANTONIO BRI BUILDING

TAMUNING, GU, 96913

(671) 619-8746

MAILING

PO BOX 9663

TAMUNING, GU, 969315663

(671) 488-9229