Individual provider · Type 1 NPI
Lois Mae Mattice, ATC PTA
Student in an Organized Health Care Education/Training Program · Sacramento, CA
NPI number
1710429477
Active
Practice location
6000 J St
Sacramento, CA 95819-2605
Mailing address
4501 Cornfield Way
Elk Grove, CA 95758-6076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 851000 (CA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1710429477
Lois Mae Mattice, ATC PTA's National Provider Identifier is 1710429477, issued on Nov 12, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Nov 12, 2016.