Individual
MS. BRENDA MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT BOCO
Contact information
Practice address
170 US ROUTE ONE, SUITE 180, FALMOUTH, ME 04105
(207) 781-5369
(207) 781-5862
Mailing address
19 PHILLIPS ROAD, FALMOUTH, ME 04105
(207) 781-5369
(207) 781-5862
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C15212
MD
225100000X
Physical Therapist
PT0512
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018251
ANTHEM BCBS
—
01
—
1042321
AETNA
—
01
—
2434074
AETNA DME
—
01
—
37938
HARVARD PILGRIM
—
01
—
M23095
CIGNA
—
01
—
M230950
CIGNA DME
—
Enumeration date
08/09/2006
Last updated
09/11/2025
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