Individual
JENNIFER MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45920 MICHIGAN RD, ALTOONA, FL 32702-9658
(352) 801-9524
Mailing address
45920 MICHIGAN RD, ALTOONA, FL 32702-9658
(352) 801-9524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 25772
FL
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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