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Individual
MRS. SARAH ELAINE MATTSON
Active
Individual
MRS. SARAH ELAINE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034086
NY
225100000X
Physical Therapist
Primary
PT00009833
WA
225100000X
Physical Therapist
PT1998
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807267000
—
ID
Enumeration date
06/09/2006
Last updated
12/20/2013
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