Individual
JEFFREY MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3030 WEBSTER ST, OAKLAND, CA 94609-3411
(510) 451-9792
Mailing address
324 KITTY HAWK RD APT 317, ALAMEDA, CA 94501-6057
(248) 766-0900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2855
CA
Other
Enumeration date
01/05/2015
Last updated
01/19/2015
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