Individual
ALYNE PRADO MASCARENHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
212 STATE RT 94 UNIT 2G2H, VERNON, NJ 07462-3328
(973) 209-0086
Mailing address
72 DECKER RD, WANTAGE, NJ 07461-2714
(973) 767-3529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00340900
NJ
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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