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Individual

CHARITY MATHIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 N WOODBURN DR, DOTHAN, AL 36303-2015
(334) 794-1000
Mailing address
1120 COUNTY LINE RD, DOTHAN, AL 36305-6872
(334) 200-4930

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7526
AL

Other

Enumeration date
01/22/2020
Last updated
01/22/2020
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