Individual
DAWNNA JEAN MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6008 W. 159TH ST., OAK FOREST, IL 60452
(708) 535-0933
Mailing address
1228 GRAND BLVD, ROMEOVILLE, IL 60446-1761
(815) 407-1766
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.007028
IL
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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