Individual
JASON RICHARD MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07828
OH
2255A2300X
Athletic Trainer
002820
OH
Other
Enumeration date
02/08/2006
Last updated
10/22/2010
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