Individual
CHRIS MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
212 MAIN ST STE B, LINCOLN PARK, NJ 07035-1786
(973) 696-2999
(973) 696-3030
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
(732) 855-9755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02018800
NJ
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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