Most Relevant Information
Provider Data
| NPI Number: | 1003299744 |
| Provider Name: | JAMIE MATTSWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT024398 |
Most Important Dates
| Enumeration Date: | 06/30/2015 |
| Last Updated: | 03/29/2021 |
Provider Practice Location
512 E COLUMBUS AVE
CORRY
PA
164079014
Practice Location Phone/Fax
| Phone: | 8146649346 |
| Fax: | 8146630169 |
Provider Mailing Location
512 E COLUMBUS AVE
CORRY
PA
164079014
Provider Mailing Phone/Fax
| Phone: | 8146649346 |
| Fax: | 8146630169 |