Individual
SUSAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 PINEHURST DR, GARDENDALE, AL 35071-2306
(205) 369-9816
Mailing address
2119 PINEHURST DR, GARDENDALE, AL 35071-2306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131002129
VA
224Z00000X
Occupational Therapy Assistant
215381
TX
224Z00000X
Occupational Therapy Assistant
Primary
319
AL
Other
Enumeration date
10/09/2018
Last updated
06/11/2019
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