Vivian Mast PT

NPI 1740250620 - Physical Therapist - 225100000X

NPI Details
NPI 1740250620
Gender Female
Enumeration Date 01/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2418 BLUE RIDGE RD
SUITE 100
RALEIGH NC, 27607-6480, US
Phone (919) 782-5954
Fax (919) 859-9444
Business Location
3528 WADE AVENUE
#139
RALEIGH NC, 27607-4048, US
Phone (919) 782-5954
Fax (919) 859-9444
Toxanomy
Taxonomy Code 225100000X
License State North Carolina
License Number 8793
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According to our database, Mrs. Vivian Mast PT NPI is 1740250620, taxonomy code is 225100000X and license number is 8793, license state is located at North Carolina. Vivian Mast PT physically located at 2418 Blue Ridge Rd, Raleigh NC, 27607-6480. NPI Number Vivian Mast PT has the Individual type.

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1740250620 NPI number is provided on an as is basis without warranty of any kind. 1740250620 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Mast PT are for informational purposes only.