Individual
MR. MASON DECKER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1751 SCOTTSVILLE RD STE 9, BOWLING GREEN, KY 42104-3357
(270) 796-6800
Mailing address
1751 SCOTTSVILLE RD STE 9, BOWLING GREEN, KY 42104-3357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
269662
KY
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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