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1356586945
SUSAN J. MANCUSO
WILLIMANTIC, CT
NPI
1356586945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CT 000379)
Enumeration Date
2008-12-10
Last Update Date
2008-12-10
Business Address
SUSAN J. MANCUSO OTR
150 MANSFIELD AVE
WILLIMANTIC, CT 06226-2026
Phone number: 860-456-2232
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Mailing Address
SUSAN J. MANCUSO OTR
31 OLD ROUTE 7 ATTN CREDENTIALING DEPT
BROOKFIELD, CT 06804-1714
Phone number: 203-740-0020
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