Individual
ALYSSA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3141
Mailing address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-2941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072.0134180
VT
225X00000X
Occupational Therapist
Primary
OT-2893
ID
Other
Enumeration date
04/26/2021
Last updated
01/10/2024
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