Individual
ROSHAN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 W WHITE RIVER BLVD, MUNCIE, IN 47303-8943
(765) 289-3341
(765) 289-3511
Mailing address
5229 W KELLER RD, MUNCIE, IN 47304-8943
(812) 589-6279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010125A
IN
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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