Individual
MR. MARIO VINCENT DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3485 DAVISVILLE RD, HATBORO, PA 19040-4220
(215) 830-0400
Mailing address
633 W RITTENHOUSE ST APT B120, PHILADELPHIA, PA 19144-4316
(610) 908-9775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012508
PA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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