Individual
LAURA LYNN MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5440 E SOUTHERN AVE STE 101, MESA, AZ 85206-2779
(480) 641-3533
Mailing address
4800 S ALMA SCHOOL RD APT 2085, CHANDLER, AZ 85248-5565
(480) 296-6818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7418
AZ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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