Individual
MICHELLE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1731 BUNKER HILL RD NE, WASHINGTON, DC 20017-3026
(202) 832-4400
Mailing address
1638 LUPIN CT, MANTECA, CA 95336-9136
(209) 679-6029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17165
CA
225X00000X
Occupational Therapist
OT200001296
DC
Other
Enumeration date
09/12/2017
Last updated
11/08/2023
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