Doctor Name: | LEJOY MATHEW |
NPI Number: | 1851705412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 1242780 |
Business Practice Address: | 323 Las Colinas Blvd E Irving, TX - 750395556 |
Business Phone Number: | 9724010300 |
Business Fax Number: | 9724012800 |
Mailing Address: | 1101 Raintree Cir Ste 150, ALLEN |
State: | TX |
Postal Code: | 750134957 |
Phone Number: | 2143839939 |
Fax Number: | 3143839929 |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1242780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |