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Individual

DIANA MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
6016 JERRYS DRIVE, COLUMBIA, MD 21044
(301) 788-6770
Mailing address
6016 JERRYS DR, COLUMBIA, MD 21044-3823
(301) 788-6770

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23640
MD

Other

Enumeration date
06/26/2020
Last updated
06/26/2020
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