Individual
ABBY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3507 W MAIN ST, ERIN, TN 37061-4148
(601) 607-1504
(601) 607-1505
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 607-1362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6438
TN
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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