Individual
JONATHAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9545 QUAILWOOD TRL, DAYTON, OH 45458-9697
(937) 750-4113
Mailing address
9545 QUAILWOOD TRL, DAYTON, OH 45458-9697
(937) 750-4113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005364
OH
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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