Provider Demographics
NPI:1154791044
Name:MATHEWSON, CURT
Entity type:Individual
Prefix:
First Name:CURT
Middle Name:
Last Name:MATHEWSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 CRYSTAL AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4600
Mailing Address - Country:US
Mailing Address - Phone:567-208-3528
Mailing Address - Fax:419-422-7710
Practice Address - Street 1:620 CRYSTAL AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4600
Practice Address - Country:US
Practice Address - Phone:567-208-3528
Practice Address - Fax:419-422-7710
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3112152251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services