Individual
AMANDA MARIE MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5440 PEACHTREE BLVD, CHAMBLEE, GA 30341-2255
(470) 719-0090
(470) 719-0091
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18289
NC
225100000X
Physical Therapist
Primary
PT017025
GA
Other
Enumeration date
09/11/2018
Last updated
09/09/2024
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