| NPI | 1902046717 |
|---|---|
| Former Name | LEILA DIANNE MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1157685) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1157685) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2025-08-01 |