MR. Thomas Richard Mason, PTA

NPI #1023415353 in Edwardsville, Illinois

Provider Information

NPI Number: 1023415353
Entity Type: Individual
Name: MR. Thomas Richard Mason, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 2, 2014
Last Updated: Dec 2, 2014

Practice Location

Address: 1095 UNIVERSITY DR
City: Edwardsville
State: Illinois
ZIP Code: 62025-3961
Phone: (618) 656-1081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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