Individual
EMILY MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1380 MARICE DR, EAGAN, MN 55121-9748
(651) 688-9999
Mailing address
20973 CATALINA WAY, FARMINGTON, MN 55024-4016
(952) 807-8094
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201912
MN
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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