Individual
JUSTIN ASCANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 LINDALL ST, DANVERS, MA 01923-2125
(978) 777-3740
Mailing address
24 RIGGS ST, GLOUCESTER, MA 01930-3652
(603) 547-0804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8657
MA
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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