Individual
TINA NICOLE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12019 VERHOEFF DR, HUNTERSVILLE, NC 28078-9217
(704) 278-0934
Mailing address
18719 CANNON CROSSING WAY, DAVIDSON, NC 28036-8804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2314
NC
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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