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1194929430
BRYAN D. MATTSON
CHICAGO, IL
NPI
1194929430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IL 056005768)
Enumeration Date
2007-06-12
Last Update Date
2008-02-06
Business Address
-- BRYAN D. MATTSON OTR
1048 W LAWRENCE AVE APT 1
CHICAGO, IL 60640-6544
Phone number: 773-968-7871
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Mailing Address
-- BRYAN D. MATTSON OTR
PO BOX 408799
CHICAGO, IL 60640-8799
Phone number: 773-968-7871
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