Individual
MRS. MEGAN COLE MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 308-3869
Mailing address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 308-3869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202681
MN
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/10/2026
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