Individual
JESSIE M MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
168 INDUSTRIAL DR, MASHPEE, MA 02649-3561
(508) 477-4800
(508) 477-5377
Mailing address
168 INDUSTRIAL DR, MASHPEE, MA 02649-3561
(508) 477-4800
(508) 477-5377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24210
MA
2251P0200X
Pediatric Physical Therapist
11611
CT
Other
Enumeration date
10/10/2017
Last updated
05/21/2020
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