Individual
MS. ANITA MARIE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SPECIAL ED
Contact information
Practice address
1202 LANDINGS LOOP, TALLAHASSEE, FL 32311-1289
(850) 228-0844
Mailing address
1202 LANDINGS LOOP, TALLAHASSEE, FL 32311-1289
(850) 901-8697
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010834900
—
FL
Enumeration date
07/27/2009
Last updated
03/07/2019
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