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1508698804
TRAE MATTHEWS
NORMAN, OK
NPI
1508698804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3836)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
TRAE MATTHEWS
440 MERCHANT DR
NORMAN, OK 73069-6470
Phone number: 405-579-1600
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Mailing Address
TRAE MATTHEWS
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 726-202-3039
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