Individual
MAGGIE MATASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WILLIAMS CT STE 116, MIDDLE RIVER, MD 21220-2898
(443) 963-3234
Mailing address
124 PETERHOFF AVE, MALVERNE, NY 11565-1398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
051835-01
NY
225100000X
Physical Therapist
Primary
29818
MD
225100000X
Physical Therapist
JJ-0014823
DE
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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