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NPI Code Detail

MEDICARE: MATTHEW NOBLE PTA

MEDICARE: MATTHEW NOBLE PTA
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 Assistant13641AAZ

General Provider Information

NPI Number : 1306467527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW NOBLE PTA
Provider Business Mailing Address
First Line : 316 E LESTER ST
Second Line :
City : TUCSON
State : AZ
Zip : 85705-8922
Country : US
Telephone Number : 520-271-5100
Fax Number :
Provider Business Practice Location Address
First Line : 1951 N WILMOT RD # 3C
Second Line :
City : TUCSON
State : AZ
Zip : 85712-8000
Country : US
Telephone Number : 520-977-1516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2020
Last Update Date : 04/28/2020

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Directions to “ MATTHEW NOBLE PTA” Practice Location

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