Individual
MR. PETER M MATENAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2101 WOODDALE DR STE A, WOODBURY, MN 55125
(651) 738-9888
Mailing address
2101 WOODDALE DR STE A, WOODBURY, MN 55125-2933
(651) 738-9888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6429
WI
Other
Enumeration date
05/04/2018
Last updated
03/07/2019
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