Provider Demographics
NPI:1093853715
Name:MATTOON-LANDON, CLAUDIA MARIE (OTRL)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:MARIE
Last Name:MATTOON-LANDON
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:MARIE
Other - Last Name:MATTOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:3323 CRESTVIEW ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-9666
Mailing Address - Country:US
Mailing Address - Phone:425-481-5797
Mailing Address - Fax:
Practice Address - Street 1:3323 CRESTVIEW ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-9666
Practice Address - Country:US
Practice Address - Phone:509-888-4354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0T00000884225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist