Individual
CORRIE MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
307 INTERNATIONAL CIR STE 100, HUNT VALLEY, MD 21030-1387
(774) 462-1097
Mailing address
8 SKYVIEW LN, WOBURN, MA 01801-5260
(860) 671-0222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11039
MA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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