Mancuso, Susan J.

Mancuso, Susan J. is an individual health care provider with primary practice located at 150 Mansfield Ave , Willimantic CT 06226-2026. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mancuso, Susan J. can be contacted via phone (860) 456-2232.

Contact Information

Primary practice address
150 Mansfield Ave Willimantic CT 06226-2026
Phone: (860) 456-2232
Fax: (860) 456-2256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 000379 Connecticut

Profile Details

NPI number 1356586945
LBN Legal business name Mancuso, Susan J.
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2008
Last updated Dec 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356586945 NPPES
Connecticut Other 1114979226 GROUP NPI NUMBER

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