Individual
LINDA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 NE 15TH ST, CASEY, IL 62420-2152
(217) 932-5307
Mailing address
301 E COLORADO AVE, CASEY, IL 62420-1510
(217) 932-5307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001228
IL
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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