Provider Demographics
NPI:1982197455
Name:MATALON, REBECCA (DPT)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:MATALON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5062 CREEKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5303
Mailing Address - Country:US
Mailing Address - Phone:818-261-0567
Mailing Address - Fax:805-242-8998
Practice Address - Street 1:375 CARMEN DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6033
Practice Address - Country:US
Practice Address - Phone:818-261-0567
Practice Address - Fax:805-242-8998
Is Sole Proprietor?:No
Enumeration Date:2018-06-10
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist