Individual
SUSAN MAMMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2100 PANTHER PATH, POINT PLEASANT BOROUGH SCHOOLS, POINT PLEASANT, NJ 08742
(732) 701-1900
Mailing address
2423 DWIGHT AVE, POINT PLEASANT BORO, NJ 08742-3706
(732) 892-8978
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR191600
NJ
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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