Individual
AMY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
80 MAPLE ST, BRATTLEBORO, VT 05301-6551
(802) 257-3740
Mailing address
80 MAPLE ST, BRATTLEBORO, VT 05301-6551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0111788
VT
225200000X
Physical Therapy Assistant
1197
NH
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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