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NPI Code Detail

MEDICARE: ROSELINE MATANMI

MEDICARE: ROSELINE MATANMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA004923GA

General Provider Information

NPI Number : 1063343291
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELINE MATANMI
Provider Business Mailing Address
First Line : 558 PARLIAMENT ST
Second Line :
City : MARIETTA
State : GA
Zip : 30066-3683
Country : US
Telephone Number : 770-973-7303
Fax Number :
Provider Business Practice Location Address
First Line : 3039 SANDY PLAINS RD
Second Line :
City : MARIETTA
State : GA
Zip : 30066-4721
Country : US
Telephone Number : 770-973-7303
Fax Number : 770-973-7303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ ROSELINE MATANMI ” Practice Location

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