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 |