Individual
ANDREA LYNN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1006 GERARD LN, BREAUX BRIDGE, LA 70517-8319
(337) 254-0632
Mailing address
1006 GERARD LN, BREAUX BRIDGE, LA 70517-8319
(337) 254-0632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06890R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152301
—
LA
Enumeration date
07/05/2006
Last updated
10/14/2016
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