Individual
MRS. MAGGIE MAY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
512 CRESCENT DR, TROY, OH 45373-2718
(937) 335-7161
Mailing address
512 CRESCENT DR, TROY, OH 45373-2718
(937) 335-7161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04571
OH
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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