Individual
MASON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 BOILING SPRINGS RD STE 2700, SPARTANBURG, SC 29303-4215
(864) 582-0019
Mailing address
1341 TIGER LAKE DR, GULF BREEZE, FL 32563-5726
(850) 288-9941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH10880
AL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
10/03/2022
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