Individual
SUZANNE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 MAIN ST, CHESTER, MD 21619-2791
(410) 604-6560
Mailing address
5007 HARGRAVES CT, FEDERALSBURG, MD 21632-1062
(443) 786-4861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5679
PTA LICENSE
MD
Enumeration date
07/26/2022
Last updated
07/26/2022
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