Individual
JILL MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
46060 MILLSTONE LANDING RD, LEXINGTON PARK, MD 20653-2149
(518) 859-4776
Mailing address
46580 PURCELL FARM LN, DRAYDEN, MD 20630-3205
(518) 859-4776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08146
MD
Other
Enumeration date
12/20/2018
Last updated
05/26/2021
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