Individual
ROSE FELICIA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 S WILLIAM ST, ATLANTA, TX 75551-3246
(903) 796-0290
Mailing address
PO BOX 253, NASHVILLE, AR 71852-0253
(870) 877-1378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213235
TX
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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