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Individual

LOUIS MASCARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
11172 HIGHWAY 142 N, COVINGTON, GA 30014-2547
(678) 712-3692
(678) 712-3693
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9980
SC
225100000X
Physical Therapist
Primary
PT014495
GA

Other

Enumeration date
11/14/2019
Last updated
06/11/2020
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