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Individual
JENNIFER MASON
Active
Individual
JENNIFER MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070020193
IL
225100000X
Physical Therapist
Primary
1322940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070020193
LICENSE
IL
Enumeration date
04/17/2014
Last updated
01/28/2022
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