Individual
MARTY J MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28425 BELCOURT RD, PEPPER PIKE, OH 44124-5623
(216) 262-2223
Mailing address
28425 BELCOURT RD, PEPPER PIKE, OH 44124-5623
(216) 262-2223
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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