Individual
MRS. LINDA MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 CHERRY ST, HOLYOKE, MA 01040-7002
(413) 539-6910
(413) 539-6840
Mailing address
110 CHERRY ST, HOLYOKE, MA 01040-7002
(413) 539-6910
(413) 539-6840
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2693
MA
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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