Individual
GREGORY MUSACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9192 RED BRANCH RD STE 290, COLUMBIA, MD 21045-2004
(410) 442-8007
Mailing address
9192 RED BRANCH RD STE 290, COLUMBIA, MD 21045-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28087
MD
Other
Enumeration date
09/10/2020
Last updated
01/16/2024
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