Individual
MR. THOMAS RICHARD MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1095 UNIVERSITY DR, EDWARDSVILLE, IL 62025-3961
(618) 656-1081
Mailing address
12251 HIGHWAY 41 N, SUITE A, EVANSVILLE, IN 47725-7014
(314) 753-2102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.00100
IL
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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