Individual
SUSAN J. MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 456-2232
(860) 456-2256
Mailing address
31 OLD ROUTE 7, ATTN CREDENTIALING DEPT, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000379
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114979226
GROUP NPI NUMBER
CT
Enumeration date
12/10/2008
Last updated
12/10/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us