Individual
COURTNEY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 PINE ST, RENOVO, PA 17764-1618
(570) 923-1000
(570) 923-1812
Mailing address
80 MASON RUN RD, DRIFTWOOD, PA 15832-4634
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004251
PA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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