Doctor Name: | LISA ANNE MASCALL |
NPI Number: | 1609925999 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA01027200 |
Business Practice Address: | 109 Bowers St Unit 1 Jersey City, NJ - 073072012 |
Business Phone Number: | 2017415096 |
Business Fax Number: | |
Mailing Address: | 109 Bowers St, Unit 1 JERSEY CITY |
State: | NJ |
Postal Code: | 073072012 |
Phone Number: | 2017415096 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 11/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01027200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |