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Matthew Thomas Cousin

Technician, Personal Care Attendant in Smithville, OH. Individual provider (NPI-1).

NPI number1003675596
StatusActive
Last updated in NPPESMar 18, 2024

Details

NPI
1003675596
Entity type
Individual (NPI-1)
Name
Matthew Thomas Cousin
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 18, 2024
Certification date
Mar 16, 2024
Last updated
Mar 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

6144 Applecreek Rd
Smithville, OH 44677-9720

Phone 330-988-0046

Mailing address

6144 Applecreek Rd
Smithville, OH 44677-9720

Phone 330-988-0046

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