Individual
MS. MONA LISA MASSUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5500 E MARKET ST, WARREN, OH 44484-2214
(330) 399-4000
(330) 399-4015
Mailing address
5500 E MARKET ST, WARREN, OH 44484-2214
(330) 399-4000
(330) 399-4015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2080427
TX
225200000X
Physical Therapy Assistant
Primary
PTA-04852
OH
Other
Enumeration date
05/05/2009
Last updated
05/21/2019
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