Most Relevant Information
Provider Data
| NPI Number: | 1003241423 |
| Provider Name: | MATT SHEAFF PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 1133 |
Most Important Dates
| Enumeration Date: | 09/04/2013 |
| Last Updated: | 09/04/2013 |
Provider Practice Location
24 OLD ETNA RD
LEBANON
NH
037661937
Practice Location Phone/Fax
| Phone: | 6039860120 |
| Fax: |
Provider Mailing Location
20 WOLF RD
APARTMENT B-13
LEBANON
NH
037661903
Provider Mailing Phone/Fax
| Phone: | 6039860120 |
| Fax: |