Individual
ALEXANDRA MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4211 BOY SCOUT BLVD, STE 450, PALM HARBOR, FL 34683
(813) 892-7884
Mailing address
505 W ALVA ST, TAMPA, FL 33603-3409
(336) 420-9360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40439
FL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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