Individual
MATTHEW EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3283 PINE RUN DR, SWARTZ CREEK, MI 48473-8634
(810) 813-5308
Mailing address
3283 PINE RUN DR, SWARTZ CREEK, MI 48473-8634
(810) 813-5308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003729
MI
Other
Enumeration date
02/16/2019
Last updated
02/16/2019
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