Kim Matava
Physical Therapist in Rochester, NY. Individual provider (NPI-1).
NPI number1982161998
StatusActive
Last updated in NPPESFeb 26, 2019
Details
- NPI
- 1982161998
- Entity type
- Individual (NPI-1)
- Name
- Kim Matava
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2019
- Last updated
- Feb 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 011353-1 | NY | Yes |
Practice location
700 Island Cottage RdRochester, NY 14612-2312
Phone 585-368-6100
Mailing address
700 Island Cottage RdRochester, NY 14612-2312
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