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Search › Pennsylvania › 208100000X

Kyle Mascola, PT, DPT

NPI 1740937663 · on the registry since 2022 · sole proprietor

Practice

Address
2990 Holme Ave
Philadelphia, PA 19136
Phone
(215) 335-2100
Organisation at this address
Immaculate Mary Home
Immaculate Mary Home
2990 Holme Operating, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
208100000X
Licence states on file
NJ, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania