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Individual

COLLEEN CASEY MATTIOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
6000 PARK SOUTH DR, CHARLOTTE, NC 28210-3298
(704) 643-1400
Mailing address
13606 STRATHAVEN DR, MATTHEWS, NC 28105-4093
(585) 746-6415

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11622
NC

Other

Enumeration date
05/25/2018
Last updated
05/25/2018
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