Individual
HEATHER LYNNE MASCETTI LOZUPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-6305
Mailing address
716 PINE DRIFT DR, ODENTON, MD 21113-2504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24823
MD
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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