Individual
JOANNE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8627 BRIDLE RD, PHILADELPHIA, PA 19115-4104
(215) 335-9375
Mailing address
8627 BRIDLE RD, PHILADELPHIA, PA 19115-4104
(215) 335-9375
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000269
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TE1000269
PHYSCIAL THERAPY ASSISTANT CERTIFICATE
—
Enumeration date
06/25/2014
Last updated
06/25/2014
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