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Individual

MRS. CARRIE LYNE M MATHIESEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4328 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2932
(719) 475-0808
Mailing address
2600 DALLAS PKWY STE 290, FRISCO, TX 75034-7493
(945) 260-0010

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070.020366
IL
208100000X
Physical Medicine & Rehabilitation Physician
PTL.0012475
CO
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/30/2013
Last updated
11/13/2024
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