Gobel E Mattingly
Physical Therapy Assistant
943 Maple Dr
Morgantown
, West Virginia 26505-2812
Gobel E Mattingly
Physical Therapy Assistant
943 Maple Dr
Morgantown
, West Virginia 26505-2812
(304) 599-2515
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Gobel E Mattingly
- 943 Maple Dr
- Morgantown, WV
- Zip : 26505-2812
- Phone : (304) 599-2515
Second Address
- Gobel E Mattingly
- 943 Maple Dr
- Morgantown, WV
- Zip : 26505-2812
- Phone : (304) 599-2515
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In what state does Gobel E Mattingly practice in?
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Is Gobel E Mattingly a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA 001823 | WV |
National Provider Identifier
| NPI | 1013235548 |
|---|---|
| Provider Name | Gobel E Mattingly |
| First Address | Morgantown, WV 26505-2812 |
| Second Address | Morgantown, WV 26505-2812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2010 |
| Last Update Date | 27/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070702738 | BOC CERTIFICATION (01) | |
| PTA 001823 | PHYSICAL THERAPIST ASSISTANT (01) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.