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Individual
MRS. MADORA DORIE MASON PEARSON
Active
Individual
MRS. MADORA DORIE MASON PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
107168
TX
225XP0200X
Pediatric Occupational Therapist
107168
TX
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004487701
—
TX
05
—
004487703
—
TX
05
—
004487704
—
TX
01
—
046679
UNITED HEALTHCARE
TX
05
—
122049721
—
AR
01
—
1257421
CIGNA AMERICAN SPECIALTY HEALTH
TX
01
—
871T52
BCBS
TX
01
—
8T6174
BCBS
TX
Enumeration date
09/17/2006
Last updated
06/09/2022
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