Individual
ILIO MARCELLO DIMASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1212 SPRUCE ST STE 305D, BELMONT, NC 28012-3386
(704) 671-5730
Mailing address
1212 SPRUCE ST STE 305D, BELMONT, NC 28012-3386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16693
NC
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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