Individual
JACLYN MASUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
91 CENTRE ST APT 3, DORCHESTER CENTER, MA 02124-2208
(718) 619-0856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9376
MA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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