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Matthew Debolt, PTA
NPI 1730503327 · on the registry since 2014
Practice
- Address
- 11015 Yalumba Pass
Roanoke, IN 46783 - Phone
- (260) 402-1968
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana