Individual
PROF. VINCENT MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
64519 HIGHWAY 41, SUITE 7, PEARL RIVER, LA 70452-3654
(985) 863-7500
(985) 643-2618
Mailing address
64519 HIGHWAY 41, SUITE 7, PEARL RIVER, LA 70452-3654
(985) 863-7500
(985) 643-2618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00163R
LA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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