Individual
DOMINIC JOSEPH MASCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Mailing address
73 VILLAGE DR, FLAGLER BEACH, FL 32136-3489
(386) 212-7024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34860
FL
2251X0800X
Orthopedic Physical Therapist
PT34860
FL
Other
Enumeration date
09/27/2019
Last updated
08/23/2024
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