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Individual

MELODIE MAE MATTSON-BELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT,OCS

Contact information

Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
(760) 367-1083
Mailing address
8260 N GRANITE OAKS DR, PRESCOTT, AZ 86305-8767

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT10149
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PT101490
BLUE SHIELD
CA
01
144792
WA. STATE DEPT OF LABOR
CA
01
1930576
FIRST HEALTH-CCN
CA
05
PT0101490
CA
Enumeration date
02/02/2007
Last updated
11/25/2007
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