Individual
HEIDI MATTESSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3802 MURRELL RD, ROCKLEDGE, FL 32955-4741
(321) 877-2090
Mailing address
8491 STROM PARK DR, VIERA, FL 32940-6694
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT29735
FL
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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