Individual
LOIS MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1415 COUNTRY CLUB RD, MOUNT VERNON, IN 47620-9301
(812) 838-6554
Mailing address
223 W 9TH ST, MOUNT VERNON, IN 47620-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010538A
IN
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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