Individual
MS. MANDY LYNN CAMUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
323 OLIVE AVE, DU BOIS, PA 15801-1927
(814) 371-5952
Mailing address
323 OLIVE AVE, DU BOIS, PA 15801-1927
(814) 371-5952
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007285
PA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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