Individual
ALEXIS MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1770 N NINA CIR UNIT 4, WASILLA, AK 99654-5658
(907) 355-5302
Mailing address
1770 N NINA CIR UNIT 4, WASILLA, AK 99654-5658
(907) 355-5302
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603612779
PREMERA
AK
Enumeration date
09/09/2022
Last updated
09/09/2022
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