Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERRY KEVIN MATTICE, PTA
ActiveTERRY KEVIN MATTICE, PTA is a Occupational Therapist healthcare provider located in ITHACA, New York. NPI 1790902880 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ITHACA, NY
Registration Details
- NPI Number
- 1790902880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.136597221102 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0036971 (NY)
Practice Information
- Address
-
2230 N TRIPHAMMER RDITHACA, NY, 148506513Browse NY providers · Browse ZIP 14850
- Phone
- 6072665316
- Fax
- 6072665353
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| KAREN BRIGHAM | — | 1710953971 |
| STEVEN L WOOD | — | 1053387142 |
| MRS. FAITH MARIE HENRY | P.T.A. | 1821242959 |
| TYLER MILLER | — | 1114418126 |
| NATHAN MICHAEL BROWN | — | 1538649900 |
| BRIAN HENRY | — | 1063164812 |
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.