MIA MARIE MANCUSO

SCRANTON, PA
NPI1194336958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TEI004330)
Enumeration Date2020-08-13
Last Update Date2020-08-13
Business Address
MIA MARIE MANCUSO PTA
2500 ADAMS AVE
SCRANTON, PA 18509-1515
Phone number: 570-343-4065
Mailing Address
MIA MARIE MANCUSO PTA
107 TAROLI ST
OLD FORGE, PA 18518-1952
Phone number: 570-955-6794