Individual
MATTHEW TODD JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2751 PROSPERITY AVE STE 100, FAIRFAX, VA 22031-4342
(703) 237-3930
Mailing address
106 COMMUNITY WAY APT 832, STAUNTON, VA 24401-5100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211407
VA
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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