Individual
AMANDA LYNN MATTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 KENSINGTON AVE STE 100, MISSOULA, MT 59801-5670
(406) 223-6858
Mailing address
800 KENSINGTON AVE STE 100, MISSOULA, MT 59801-5670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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