Individual
LAURIE M MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CLARKSON HALL, 59 MAIN ST, POTSDAM, NY 13676
(315) 261-5460
Mailing address
131 NOLAN RD, RUSSELL, NY 13684-3153
(315) 562-1043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005339-1
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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