Individual
MRS. JANINE P MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3701 NW CARY PARKWAY, SUITE 301, CARY, NC 27513
(919) 388-0111
(919) 228-3333
Mailing address
3701 NW CARY PARKWAY, SUITE 301, CARY, NC 27513
(919) 388-0111
(919) 228-3333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079W4
BLUE CROSS BLUE SHIELD
NC
01
—
7194752
AETNA
NC
Enumeration date
02/21/2007
Last updated
07/08/2007
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