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Individual

JOEL D MASON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3385 DEXTER CT, PLAZA PHYSICAL THERAPY, DAVENPORT, IA 52807-3471
(563) 344-6645
(563) 441-7796
Mailing address
PO BOX 337, 240 N BLUFF BLVD SUITE 101, CLINTON, IA 52733-0337
(563) 519-0242
(563) 241-4353

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03083
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0288779
IA
Enumeration date
09/26/2005
Last updated
07/08/2007
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