Individual
KATHLEEN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10385 GRAND VALLEY LN, WOODBURY, MN 55129-4260
(612) 940-1875
Mailing address
10385 GRAND VALLEY LN, WOODBURY, MN 55129-4260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202731
MN
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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