Individual
MARIO THOMAS MASCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
1417 COOPER CIR, WEST CHESTER, PA 19380-6205
(610) 996-8060
Mailing address
1417 COOPER CIR, WEST CHESTER, PA 19380-6205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005557
PA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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