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Individual
YVONNE MANCUSO
Active
Individual
YVONNE MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
242505
OR
225X00000X
Occupational Therapist
Primary
OC010914
PA
225X00000X
Occupational Therapist
OT.007200
OH
Other
Enumeration date
05/03/2009
Last updated
08/16/2011
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