Individual
MRS. AMBERLY C MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
30914 MILL LANE, SUITE D, DAPHNE, AL 36526
(251) 533-8064
Mailing address
PO BOX 7627, MOBILE, AL 36670-0627
(251) 625-2170
(251) 625-2172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4377
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51547863
BCBS
AL
01
—
720552
UNITED HEALTHCARE
AL
Enumeration date
02/04/2008
Last updated
06/12/2008
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