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Individual

LISA ANNE MASCALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, LAC

Contact information

Practice address
50 CLINTON PL, HACKENSACK, NJ 07601-4579
(201) 561-1240
Mailing address
50 CLINTON PL, HACKENSACK, NJ 07601-4579
(201) 561-1240

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005836
NY
171100000X
Acupuncturist
Primary
25MZ00130000
NJ
225100000X
Physical Therapist
027805-01
NY
225100000X
Physical Therapist
40QA01027200
NJ

Other

Enumeration date
01/09/2007
Last updated
02/25/2019
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