Ms Desiree Ann Mata, PT | |
1710 Ne Fairview Ave, Grants Pass, OR 97526-3877 | |
(541) 479-2606 | |
Not Available |
Full Name | Ms Desiree Ann Mata |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1710 Ne Fairview Ave, Grants Pass, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235598392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 06567 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Desiree Ann Mata, PT 406 Ne Silverwood Pl, Grants Pass, OR 97526-2226 Ph: (541) 450-2496 | Ms Desiree Ann Mata, PT 1710 Ne Fairview Ave, Grants Pass, OR 97526-3877 Ph: (541) 479-2606 |
Jennifer Ostfeld Medley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Sw Ramsey Ave Ste 220, Grants Pass, OR 97527 Phone: 541-479-0765 Fax: 541-479-3461 | |
Doranne Long, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Union Ave, Grants Pass, OR 97527 Phone: 541-955-0940 Fax: 541-955-5233 | |
Jonathan Anders, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Sw Ramsey Ave Ste B, Grants Pass, OR 97527 Phone: 541-479-6979 | |
Kimberly Ann Johnson, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Sw Ramsey, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920 | |
Bruce Balcita Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 Union Ave Ste D, Grants Pass, OR 97527 Phone: 541-974-8572 | |
Impact Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Ramsey Ave, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920 | |
Mr. Ted Iwamizu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 873 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-6955 |