Individual
KELLY MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
909 6TH ST, TRAER, IA 50675-1311
(319) 478-2730
Mailing address
24120 M AVE UNIT 7, GRUNDY CENTER, IA 50638-8760
(319) 269-6197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00742
IA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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