Individual
MANICA THELUSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 MILL ST STE B335, WORCESTER, MA 01602-3191
(508) 752-8466
Mailing address
1A ROSAMOND ST, WORCESTER, MA 01604-4815
(857) 312-0620
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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