Individual
SUSAN MATHASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6614 ALLVIEW DR, COLUMBIA, MD 21046-1044
(443) 538-4858
Mailing address
PO BOX 648, COLUMBIA, MD 21045-0648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04189
MD
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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