Individual
MITCHELL W. MATTINGLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
2685 W LAWSON RD, MARION, IN 46952-9240
(765) 674-3321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003790A
IN
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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