Individual
JULIANNE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W MAIN ST STE 111, BABYLON, NY 11702-3009
(631) 376-0600
Mailing address
400 W MAIN ST STE 111, BABYLON, NY 11702-3009
(631) 376-0600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012535
NY
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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