Doctor Name: | MIA MASCARINAS |
NPI Number: | 1699891069 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA00541600 |
Business Practice Address: | 1361 Route 72 W Manahawkin, NJ - 080502417 |
Business Phone Number: | 6099780600 |
Business Fax Number: | 6099788061 |
Mailing Address: | 132 Sloop Rd, MANAHAWKIN |
State: | NJ |
Postal Code: | 080504835 |
Phone Number: | 6096601596 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00541600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |