Individual
CHRISTOPHER PEREZ MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
Mailing address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25346
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT253460
PPIN
CA
Enumeration date
10/19/2006
Last updated
02/11/2021
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