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1205922788
LISA ANN MATTESON
UTICA, NY
NPI
1205922788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 010007-1)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- LISA ANN MATTESON OT
2209 GENESEE STREET
UTICA, NY 13501
Phone number: 315-798-8361
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Mailing Address
-- LISA ANN MATTESON OT
2209 GENESEE STREET
UTICA, NY 13501
Phone number: 315-798-8361
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