| NPI | 1720118003 |
|---|---|
| Former Name | LAURA L MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11072404-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9376) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-01-18 |