Individual
JACQUELYN N MASCIANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
30 VREELAND RD, BUILDING A SUITE 110, FLORHAM PARK, NJ 07932-1904
(973) 660-1000
(973) 660-1008
Mailing address
123 SUMMIT AVE APT 2, SUMMIT, NJ 07901-2830
(908) 219-4643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01138500
NJ
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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