Individual
JOBY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
476 CHRISTIAN HERALD RD, VALLEY COTTAGE, NY 10989-2230
(845) 268-6861
Mailing address
160 N MAIN ST APT 49A, NEW CITY, NY 10956-3824
(845) 709-0368
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009175-1
NY
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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