Individual
MISS CHRISTINA MARIE MATTISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1500 PALM BEACH RD, STUART, FL 34994-4044
(772) 288-1860
Mailing address
2097 SE FERN PARK DR, PORT ST LUCIE, FL 34952-8005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10807
FL
Other
Enumeration date
12/27/2010
Last updated
12/28/2010
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