Provider Demographics
NPI:1104438340
Name:MATTHEWS, ADRIENNE J (PT, DPT)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:J
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PROVIDENCE HWY STE 24A
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4641
Mailing Address - Country:US
Mailing Address - Phone:781-769-2040
Mailing Address - Fax:781-762-3421
Practice Address - Street 1:825 WASHINGTON ST STE 280
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3449
Practice Address - Country:US
Practice Address - Phone:781-769-2040
Practice Address - Fax:781-769-2040
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist