Individual
MASON ROLLAND HEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3745 GEIST RD, FAIRBANKS, AK 99709-3554
(907) 456-1112
(907) 456-1115
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AK
2251X0800X
Orthopedic Physical Therapist
12999
MT
Other
Enumeration date
07/17/2017
Last updated
07/08/2024
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