Individual
JOSELYNN MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1050 S FOSTER DRIVE, BATON ROUGE, LA 70806
(337) 384-6868
Mailing address
39218 DAVID DRIVE, PRAIRIEVILLE, LA 70769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
320505
LA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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