Individual
EILEEN MASCHERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4709 KIRKWOOD HWY, WILMINGTON, DE 19808-5007
(302) 998-9880
(302) 998-7498
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(803) 812-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001284
DE
225100000X
Physical Therapist
PTO18884
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102372948-0001
—
PA
05
—
14676320178
—
DE
01
—
1467632018
DPCI
DE
01
—
2123130
HIGHMARK PABS
PA
01
—
3743700000
IBC
DE
01
—
P00692892
MEDICARE RAILROAD
DE
Enumeration date
11/13/2007
Last updated
01/02/2025
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