Individual
HEATHER M. MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
420 S 7TH ST, OAKES, ND 58474-2024
(701) 742-3267
Mailing address
420 S 7TH ST, OAKES, ND 58474-2024
(701) 742-3267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1580
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55801
—
ND
Enumeration date
10/05/2010
Last updated
05/17/2011
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