Individual
ANALEICIA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 BROAD AVE, GULFPORT, MS 39501-3601
(228) 864-6544
Mailing address
117 VAN BUREN AVE, BILOXI, MS 39531-3324
(970) 430-7647
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4090
MS
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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