Individual
MASON SHARP MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
705 NE GEORGIA AVE, SWEETWATER, TX 79556-8251
(325) 235-5417
Mailing address
705 NE GEORGIA AVE, SWEETWATER, TX 79556-8251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
384655
FL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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