Individual
COURTNEY MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
17207 N BOSWELL BLVD, SUN CITY, AZ 85373-2094
(800) 967-4667
Mailing address
7423 W MONTE LINDO, GLENDALE, AZ 85310-5941
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LPT-011058
AZ
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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