Individual
KELLY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1576 MERRITT BLVD STE 7, DUNDALK, MD 21222-2114
(410) 650-2145
Mailing address
2200 E BIDDLE ST APT 303, BALTIMORE, MD 21213-3437
(410) 458-0483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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