Individual
MARCUS MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
056.008266
IL
225X00000X
Occupational Therapist
Primary
056.008266
IL
Other
Enumeration date
03/10/2010
Last updated
07/17/2020
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