Individual
LAKIA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 TYLER ST, GARY, IN 46402-1149
(219) 886-7070
Mailing address
8430 S PARNELL AVE APT C1, CHICAGO, IL 60620-2078
(773) 430-8394
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056012874
IL
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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