Individual
MRS. CAROLE RUTH MASCARENHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, PTA, LMT
Contact information
Practice address
12268 GRECO DR, ORLANDO, FL 32824-5849
(321) 544-9804
Mailing address
12268 GRECO DR, ORLANDO, FL 32824-5849
(321) 544-9804
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AP2248
FL
225200000X
Physical Therapy Assistant
Primary
PTA21324
FL
225700000X
Massage Therapist
MA32174
FL
Other
Enumeration date
09/14/2007
Last updated
04/05/2010
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