Individual
JASMINE MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
15820 CHRISTOPHER LANE, FRISCO, TX 75035
(215) 219-4928
Mailing address
15820 CHRISTOPHER LN, FRISCO, TX 75035-3624
(215) 219-4928
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
49204
PA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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