Doctor Name: | JONATHAN EDWARD MATEY |
NPI Number: | 1194855213 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT006449 |
Business Practice Address: | 1657 Dorsey Ave East Point, GA - 303443378 |
Business Phone Number: | 4047675842 |
Business Fax Number: | 4047675894 |
Mailing Address: | 1657 Dorsey Ave, EASTPOINT |
State: | GA |
Postal Code: | 30344 |
Phone Number: | 4047675842 |
Fax Number: | 4047675894 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT006449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |