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Individual

RICHARD KEITH MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTRL, CHT

Contact information

Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2261
(906) 485-2506
Mailing address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201003818
MI

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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