Individual
MASON DURRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6640 PARKDALE PL STE T, INDIANAPOLIS, IN 46254-5619
(317) 808-7070
(317) 808-7073
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006916A
IN
Other
Enumeration date
10/01/2024
Last updated
11/20/2024
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