Individual
JENNIFER SMITH MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 COUNTRY MEADOWS BLVD, MIDLOTHIAN, TX 75165
(972) 937-1650
Mailing address
3430 STARWASHED DR, MIDLOTHIAN, TX 76065
(214) 949-0698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2032654
TX
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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