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Individual

MRS. JANICE A. MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4442 PIEDMONT AVE, SUITE F, OAKLAND, CA 94611-4231
(510) 388-3664
Mailing address
6445 HEATHER RIDGE WAY, OAKLAND, CA 94611-1207
(510) 338-1037

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29730
CA
2251P0200X
Pediatric Physical Therapist
Primary
29730
CA

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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