National Provider Identifier

Theresa Mancuso, OCCUPATIONAL THERAPI

Theresa Mancuso, OCCUPATIONAL THERAPI is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 223-5090.

NPI 1851794648Fairport, NYOccupational Therapist

Profile Overview

NPI
1851794648
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 07, 2014
Last Updated
October 07, 2014

Practice Location

  • 6800 Pittsford Palmyra RD Ste 380
  • Suite 380
  • Fairport, NY 14450-3518

Phone: (585) 223-5090

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1851794648
Entity Type
Individual
Last Name
Mancuso
First Name
Theresa
Credential
OCCUPATIONAL THERAPI
Mailing Street Address
6800 Pittsford Palmyra RD Ste 380
Mailing Address Line 2
Suite 380
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3518
Mailing Country
US
Mailing Phone
(585) 223-5090
Practice Street Address
6800 Pittsford Palmyra RD Ste 380
Practice Address Line 2
Suite 380
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3518
Practice Country
US
Practice Phone
(585) 223-5090
Enumeration Date
October 07, 2014
Last Updated
October 07, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)