Individual
EDIE MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1005 SEAN CT, HURST, TX 76053-6324
(832) 482-5042
Mailing address
1005 SEAN CT, HURST, TX 76053-6324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113614
TX
Other
Enumeration date
10/18/2012
Last updated
12/05/2025
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