Most Relevant Information
Provider Data
| NPI Number: | 1003816653 |
| Provider Name: | KATIE MATSON HAMBERG ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT 002289 |
Most Important Dates
| Enumeration Date: | 07/26/2005 |
| Last Updated: | 12/23/2010 |
Provider Practice Location
4701 CREEK RD
SUITE 110
CINCINNATI
OH
452428398
Practice Location Phone/Fax
| Phone: | 5135548080 |
| Fax: | 5135548082 |
Provider Mailing Location
4701 CREEK RD
SUITE 110
CINCINNATI
OH
452428398
Provider Mailing Phone/Fax
| Phone: | 5137339333 |
| Fax: | 5135882479 |