Individual
TYLER PAUL MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
3830 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(502) 542-4123
Mailing address
PO BOX 33286, SANTA FE, NM 87594-3286
(505) 424-1239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4614
NM
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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