Individual
MR. GARY C MATTHESEN
Active
Individual
MR. GARY C MATTHESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA OTR
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
387-1
NY
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/11/2011
Last updated
02/20/2019
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