Most Relevant Information
Provider Data
| NPI Number: | 1003050832 |
| Provider Name: | MATTHEW TYLER BERTRAND PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2063642 |
Most Important Dates
| Enumeration Date: | 04/23/2009 |
| Last Updated: | 04/23/2009 |
Provider Practice Location
4610 N GARFIELD ST
SUITE B-5
MIDLAND
TX
797052663
Practice Location Phone/Fax
| Phone: | 4325708782 |
| Fax: | 4326838476 |
Provider Mailing Location
4610 N GARFIELD ST
SUITE B-5
MIDLAND
TX
797052663
Provider Mailing Phone/Fax
| Phone: | 4325708782 |
| Fax: | 4326838476 |