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Individual
MASON PESQUERA
Active
Individual
MASON PESQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1344584
TX
225100000X
Physical Therapist
CP048923T
SC
225100000X
Physical Therapist
CP048924T
PA
225100000X
Physical Therapist
CP050201T
GA
Other
Enumeration date
08/19/2019
Last updated
10/13/2025
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