NDIDIAMAKA DILLIBE MATTHEWS


Address: 582 Eldora Rd, Pasadena, CA 91104-3613
Phone: 2139244377

NDIDIAMAKA DILLIBE MATTHEWS (NPI# 1295853489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295853489
Entity Type Individual
Full Name NDIDIAMAKA DILLIBE MATTHEWS
Credential D.P.T, N.C.S.
Practice Address 582 Eldora Rd
Pasadena
CA 91104-3613
Practice Telephone 2139244377
Practice Fax Number 3232247075
Mailing Telephone 2139244377
Mailing Fax Number 3232247075
Enumeration Date 2007-03-26
Last Update Date 2011-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251N0400X Physical Therapist
Specialization: Neurology
PT27434 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 582 ELDORA RD
City PASADENA
State CA
Zip Code 91104-3613

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Taxonomy Information

Taxonomy Code 2251N0400X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Neurology

Taxonomy Definition

Definition to come...

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Competitor

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City PASADENA
Zip Code 91104

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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