Individual
DANA MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6815
OR
225100000X
Physical Therapist
7843
AZ
225100000X
Physical Therapist
Primary
PT60147275
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467640342
—
WA
01
—
325056
WA L&I
WA
05
—
500645425
—
OR
01
—
P01153282
RR MEDICARE
OR
01
—
P01582593
RR MEDICARE
WA
Enumeration date
10/04/2007
Last updated
02/23/2016
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