Individual
MS. CARLY L. MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11855 ULYSSES ST NE, STE 20, BLAINE, MN 55434-3947
(763) 767-3140
(763) 767-3146
Mailing address
11855 ULYSSES ST NE, STE 20, BLAINE, MN 55434-3947
(763) 767-3140
(763) 767-3146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8825
MN
Other
Enumeration date
09/26/2011
Last updated
03/28/2012
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