Brooke Mason

NPI 1265781280 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1265781280
Gender Female
Enumeration Date 09/05/2012
Last Updated 09/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
222 S RIVERSIDE PLZ
SUITE 830
CHICAGO IL, 60606-5808, US
Phone (312) 416-3804
Fax
Business Location
360 BEAU DR
APT 5
DES PLAINES IL, 60016-2461, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160.005709
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According to our database, Brooke Mason NPI is 1265781280, taxonomy code is 225200000X and license number is 160.005709, license state is located at Illinois. Brooke Mason physically located at 222 S Riverside Plz, Chicago IL, 60606-5808. NPI Number Brooke Mason has the Individual type.

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1265781280 NPI number is provided on an as is basis without warranty of any kind. 1265781280 is maintained by the National Plan & Provider Enumeration System. The contents of Brooke Mason are for informational purposes only.