Andrea Alice Mattson PTA

NPI 1740679075 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1740679075
Gender Female
Enumeration Date 01/09/2015
Last Updated 01/09/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3550 OLD AIRPORT RD NW
2318
ALBUQUERQUE NM, 87114-9266, US
Phone (505) 463-0723
Fax
Business Location
7900 CONSTITUTION AVE NE
ALBUQUERQUE NM, 87110-7513, US
Phone (505) 296-5565
Fax
Toxanomy
Taxonomy Code 225200000X
License State New Mexico
License Number A240
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According to our database, Ms. Andrea Alice Mattson PTA NPI is 1740679075, taxonomy code is 225200000X and license number is A240, license state is located at New Mexico. Andrea Alice Mattson PTA physically located at 3550 Old Airport Rd Nw, Albuquerque NM, 87114-9266. NPI Number Andrea Alice Mattson PTA has the Individual type.

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1740679075 NPI number is provided on an as is basis without warranty of any kind. 1740679075 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Alice Mattson PTA are for informational purposes only.