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Organization
MASCIANGELO PHYSICAL THERAPY LLC
Active
Organization
MASCIANGELO PHYSICAL THERAPY LLC
Active
Other names
Connectivity Therapy and Holistic Health
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN NICOLE HINES (DR OF P.T./OWNER)
(732) 224-1280
Entity
Organization
Contact information
Practice address
211 BROAD ST, SUITE 102, RED BANK, NJ 07701
(732) 224-1280
(732) 224-1281
Mailing address
211 BROAD ST, SUITE 102, RED BANK, NJ 07701
(732) 224-1280
(732) 224-1281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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