Individual
SUSAN BUNTIN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7338
Mailing address
5451 N ANGELA RD, MEMPHIS, TN 38120-1903
(901) 685-9875
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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