Individual
PHUONG QUOC MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2920 FEE FEE RD, MARYLAND HEIGHTS, MO 63043-1915
(314) 291-0121
Mailing address
2831 JAMES CHRISTOPHER DR, MARYLAND HEIGHTS, MO 63043-4217
(314) 770-0904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117691
MO
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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