Provider Demographics
NPI:1386883601
Name:MASON, ANGELA T (FNTP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:T
Last Name:MASON
Suffix:
Gender:F
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:MONSON
Mailing Address - State:MA
Mailing Address - Zip Code:01057-9417
Mailing Address - Country:US
Mailing Address - Phone:413-219-1202
Mailing Address - Fax:
Practice Address - Street 1:77 MARGARET ST
Practice Address - Street 2:
Practice Address - City:MONSON
Practice Address - State:MA
Practice Address - Zip Code:01057-9417
Practice Address - Country:US
Practice Address - Phone:413-219-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist