Individual
MASON SCRIVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
735 N MAIN ST STE 1300, ALPHARETTA, GA 30009-2411
(770) 580-8575
Mailing address
406 MYERS ST, SHELBINA, MO 63468-1423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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