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NPI Code Detail

MEDICARE: PATRICIA LYNN MATHEWS PT

MEDICARE: PATRICIA LYNN MATHEWS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT005975GA

General Provider Information

NPI Number : 1770759672
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LYNN MATHEWS PT
Provider Business Mailing Address
First Line : 216 BROWN THRUSH RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-6008
Country : US
Telephone Number : 912-655-5893
Fax Number :
Provider Business Practice Location Address
First Line : 351 WILMINGTON ISLAND RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-3851
Country : US
Telephone Number : 912-898-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2008
Last Update Date : 05/01/2008

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