Individual
TRAE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 579-1600
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3836
OK
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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