Individual
MATTESON DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(703) 696-3462
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0020170
CO
Other
Enumeration date
07/31/2023
Last updated
10/16/2024
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