Individual
JENNA MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1950 E LAFAYETTE AVE, GILBERT, AZ 85298-0821
(480) 274-3951
Mailing address
1950 E LAFAYETTE AVE, GILBERT, AZ 85298-0821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7375
AZ
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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