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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X851000 (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.