| Doctor Name: | MR. CORY T MATACIO |
| NPI Number: | 1902994254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | PT 32349 |
| Business Practice Address: | 1103 Trancas Street Napa Valley Physical Therapy Center Napa, CA - 94558 |
| Business Phone Number: | 7072243131 |
| Business Fax Number: | 7072242356 |
| Mailing Address: | 56 Firefly Lane, NAPA |
| State: | CA |
| Postal Code: | 94558 |
| Phone Number: | 7072266020 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 32349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |