Individual
COLETTE MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5818 N JEFFERSON COMMONS CIR APT 104, KALAMAZOO, MI 49009-6074
(231) 736-4272
Mailing address
5818 N JEFFERSON COMMONS CIR APT 104, KALAMAZOO, MI 49009-6074
(231) 736-4272
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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