Individual
LEE ANN MAE MATEFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0431
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0431
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048G1HO
BCBS MINNESOTA
—
01
—
6404024
MEDICA
—
01
—
HP41229
HEALTH PARTNERS
—
Enumeration date
05/12/2006
Last updated
03/26/2013
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