Jamie Mattswell, | |
512 E Columbus Ave, Corry, PA 16407-9014 | |
(814) 664-9346 | |
(814) 663-0169 |
Full Name | Jamie Mattswell |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 512 E Columbus Ave, Corry, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003299744 | NPI | - | NPPES |
1032477930003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT024398 (Pennsylvania) | Primary |
Provider Name | Seth Enterprises Ii Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1841300654 PECOS PAC ID: 8224940531 Enrollment ID: O20031105000028 |
Provider Name | Seth Enterprises I |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205946910 PECOS PAC ID: 0042258451 Enrollment ID: O20120621000336 |
Mailing Address | Practice Location Address |
---|---|
Jamie Mattswell, 512 E Columbus Ave, Corry, PA 16407-9014 Ph: (814) 664-9346 | Jamie Mattswell, 512 E Columbus Ave, Corry, PA 16407-9014 Ph: (814) 664-9346 |
Mrs. Tracy Ann Styborski, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 N Center St, Corry, PA 16407 Phone: 814-663-7878 Fax: 814-663-0661 | |
Mr. John Mark Styborski, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 41 N Center St, Corry, PA 16407 Phone: 814-663-7878 Fax: 814-663-0661 | |
Jacob Vaillancourt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 E Columbus Ave, Corry, PA 16407 Phone: 814-664-9346 Fax: 814-663-0169 | |
Alyssa Hutchinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Worth St, Corry, PA 16407 Phone: 814-664-9606 | |
Perri Wasserman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 965 Shamrock Ln, Corry, PA 16407 Phone: 814-664-4641 Fax: 814-644-4086 |