Individual
LORI MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
(817) 548-3258
(844) 618-2754
Mailing address
5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
(817) 548-3258
(844) 618-2754
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
104041
TX
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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