Individual
MRS. MARIAMMA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
101 S LYNN BLVD, UPPER DARBY, PA 19082-2715
(610) 449-3432
(610) 449-3432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001975L
PA
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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