Individual
BETH MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
993 E COLLEGE ST, PULASKI, TN 38478-4432
(931) 363-3572
(931) 363-5001
Mailing address
106 COMER ST, ROGERSVILLE, AL 35652-8026
(256) 247-1512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2192
AL
224Z00000X
Occupational Therapy Assistant
Primary
403784
TN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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