Individual
DIANNE MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2716 ORTHODOX ST, PHILADELPHIA, PA 19137-1604
(215) 743-4435
Mailing address
17 FARMINGHAM DR, SEWELL, NJ 08080-2134
(609) 868-4848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00425700
NJ
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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