Individual
MRS. HEATHER A MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
22 SOUTH ST, VERNON, CT 06066-4553
(860) 875-0771
(860) 872-2941
Mailing address
22 SOUTH ST, VERNON, CT 06066-4553
(860) 875-0771
(860) 872-2941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0004786
CT
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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