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NPI Code Detail

MEDICARE: LEXI MASIAK

MEDICARE: LEXI MASIAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantTE012224PA

General Provider Information

NPI Number : 1184251456
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEXI MASIAK
Provider Business Mailing Address
First Line : 4728 SHELDON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19127-1009
Country : US
Telephone Number : 920-858-6641
Fax Number :
Provider Business Practice Location Address
First Line : 600 E CATHEDRAL RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-1933
Country : US
Telephone Number : 215-984-8649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 03/25/2020

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Directions to “ LEXI MASIAK ” Practice Location

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