Individual
MS. MARILYN J MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, BFA
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1447
CA
174400000X
Specialist
—
CA
Other
Enumeration date
08/19/2011
Last updated
12/31/2014
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