| NPI | 1578847810 |
|---|---|
| Former Name | ANN MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015711) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 5501015711) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-11-01 |