MRS. Larina Smith Mason, PT
NPI #1629320643 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1629320643
- Entity Type
- Individual
- Name
- MRS. Larina Smith Mason, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Oct 15, 2012
Practice Location
- Address
- 2222 S FRONTAGE RD
- Address 2
- SUITE D
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5271
- Phone
- (601) 456-0159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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