Individual
MR. TIMOTHY DOUGLAS MATHEWS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7600 FODOR RD, NEW ALBANY, OH 43054-8738
(614) 855-8339
(614) 855-8328
Mailing address
627 HERMAN RD, GAHANNA, OH 43230-9201
(614) 855-0764
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001756
OH
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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