Individual
ANN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2770
Mailing address
9935 W SABIN CHURCH RD, PEARL CITY, IL 61062-9035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004898
IL
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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