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Individual
JACOB MASON
Active
Individual
JACOB MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP024998T
MD
225100000X
Physical Therapist
Primary
PT016440
GA
225100000X
Physical Therapist
PT305449
CA
225100000X
Physical Therapist
PTL80963
MA
Other
Enumeration date
02/13/2023
Last updated
02/20/2026
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