Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW IREDIA EBALU JR.
ActiveDR. MATTHEW IREDIA EBALU JR. is a Physical Therapy Assistant healthcare provider located in JONESBORO, Georgia. NPI 1700546256 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JONESBORO, GA
Registration Details
- NPI Number
- 1700546256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 25, 2021 (4.6354184335354 yrs)
- Last Updated
- Sep 20, 2022
- License
-
PT016228 (GA)
Practice Information
- Address
-
7130 MOUNT ZION BLVD STE 9JONESBORO, GA, 302362566Browse GA providers · Browse ZIP 30236
- Phone
- 7706035660
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JONESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| ANGELA NKOLI OKAFOR | PT | 1497772438 |
| LUANNE MARIA MACISAAC | PT | 1700996642 |
| VENNEISA SMITH WILLIAMS | PT005989 | 1063592343 |
| DODY DEAVOURS | PT | 1487733739 |
| MS. NICOLE RENEE STUDEVAN | P.T. | 1588720403 |
| YACHIKA SHARMA | M.P.T | 1396932042 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.