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Individual

MASON MORIAH EARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, OCS

Contact information

Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322

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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