Individual
MATHISON MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 U ST NW APT 602, WASHINGTON, DC 20009-3528
(973) 362-5241
Mailing address
1 SHADY LN, HAMBURG, NJ 07419-9778
(973) 362-5241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/30/2020
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