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Contact Information

LISA A MATTESON, OT
2209 GENESEE STREET
UTICA, NY13501
 Phone: 315-798-8361
 Fax: 315-798-8397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA A MATTESON · (Female)

NPI Number 1205922788
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 010007-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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