Gabriel Mattson P.T.

NPI 1013005834 - Physical Therapist - 225100000X

NPI Details
NPI 1013005834
Gender Male
Enumeration Date 10/10/2006
Last Updated 02/17/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1964 ASHLEY RIVER RD
SUITE C-1
CHARLESTON SC, 29407-4737, US
Phone (843) 576-4121
Fax (843) 793-3575
Business Location
1964 ASHLEY RIVER RD
SUITE C-1
CHARLESTON SC, 29407-4737, US
Phone (843) 576-4121
Fax (843) 793-3575
Toxanomy
Taxonomy Code 225100000X
License State South Carolina
License Number 5591
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According to our database, Gabriel Mattson P.T. NPI is 1013005834, taxonomy code is 225100000X and license number is 5591, license state is located at South Carolina. Gabriel Mattson P.T. physically located at 1964 Ashley River Rd, Charleston SC, 29407-4737. NPI Number Gabriel Mattson P.T. has the Individual type.

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1013005834 NPI number is provided on an as is basis without warranty of any kind. 1013005834 is maintained by the National Plan & Provider Enumeration System. The contents of Gabriel Mattson P.T. are for informational purposes only.