Individual
LISA SUNDIUS MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14 MAIN ST STE 206, MADISON, NJ 07940-1818
(973) 966-5577
Mailing address
29 SHADYLAWN DR, MADISON, NJ 07940-1011
(973) 966-1924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00060900
NJ
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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