Mia Marie Mancuso, PTA

Physical Therapy Assistant · Scranton, PA

Individual Active NPI

NPI number 1194336958

Practice location

2500 Adams Ave
Scranton, PA 18509-1515
Phone
(570) 343-4065

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NPI record

NPI
1194336958
Entity type
Individual (Type 1)
Enumeration date
August 13, 2020
Last updated
August 13, 2020
Certified
August 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X TEI004330 PA

Mailing address

107 Taroli St
Old Forge, PA 18518-1952
Phone
(570) 955-6794

About Mia Mancuso

Mia Marie Mancuso, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2500 Adams Ave, Scranton, PA 18509-1515. The NPI number 1194336958 was assigned on August 13, 2020 and the record was last updated on August 13, 2020.

Mia Mancuso lists a license in the registry: #TEI004330 (PA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mia Marie Mancuso, PTA?

The NPI number is 1194336958.

What is the phone number of Mia Mancuso?

The phone number listed for the practice location is (570) 343-4065.

Where is Mia Mancuso located?

2500 Adams Ave, Scranton, PA 18509-1515.

What is the taxonomy code for Mia Mancuso?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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