Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT6447 | CA |
NPI | 1023205846 |
---|---|
Provider Name | Arthur W Mattmiller III |
First Address | Salinas, CA 93901-2436 |
Second Address | Salinas, CA 93901-2436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 18/11/2013 |