| NPI | 1528434289 |
|---|---|
| Former Name | NICOLE V MASKERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01620000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28212) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-12-09 |