Individual
MASON MORIAH EARP
Active
Individual
MASON MORIAH EARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP011119T
GA
225100000X
Physical Therapist
Primary
PT0000013536
TN
225100000X
Physical Therapist
PT013570
GA
Other
Enumeration date
08/01/2018
Last updated
03/13/2024
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