Individual
MRS. MARY THERESE MATTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12150 30 MILE RD STE 102, WASHINGTON TOWNSHIP, MI 48095-2035
(586) 336-2480
(586) 336-2481
Mailing address
12150 30 MILE RD STE 102, WASHINGTON TOWNSHIP, MI 48095-2035
(586) 336-2480
(586) 336-2481
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501004313
MI
Other
Enumeration date
10/18/2018
Last updated
02/15/2022
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