Individual
KYLE ALEXANDER MASCOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2990 HOLME AVE, PHILADELPHIA, PA 19136-1830
(215) 335-2100
Mailing address
1000 N MARSHALL ST UNIT 1, PHILADELPHIA, PA 19123-1309
(732) 841-0037
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
029604
PA
208100000X
Physical Medicine & Rehabilitation Physician
40QA02016100
NJ
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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