AJAY MATHEW

LOUISVILLE, KY
NPI1497192686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003619)
Enumeration Date2013-05-28
Last Update Date2013-05-28
Business Address
Mr. AJAY MATHEW PTA
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
Mr. AJAY MATHEW PTA
53755 BALDWIN CT
SHELBY TOWNSHIP, MI 48315-1666
Phone number: 586-232-4298