Individual
DYLAN MASCARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5619 CAROLINA BEACH RD STE 120, WILMINGTON, NC 28412-2815
(910) 790-1976
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
292281
CA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
01/22/2021
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