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Individual

KEVIN JOSEPH MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
8448 SIEGEN LN, BATON ROUGE, LA 70810-1938
(225) 767-8182
Mailing address
825 BURGESS LN, MURPHY, TX 75094-3336
(972) 422-6331

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1351311
TX

Other

Enumeration date
10/12/2021
Last updated
10/12/2021
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