Most Relevant Information
Provider Data
| NPI Number: | 1003833823 |
| Provider Name: | HEIDI L MANCUSI PT, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 2251N0400X |
| Specialty: | Physical Therapist |
| License Number: | 9816-24 |
Most Important Dates
| Enumeration Date: | 07/16/2006 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
600 HIGHLAND AVE
COMPLIANCE MAIL CODE-2433
MADISON
WI
537920001
Practice Location Phone/Fax
| Phone: | 6086620817 |
| Fax: |
Provider Mailing Location
600 HIGHLAND AVE
COMPLIANCE MAIL CODE-2433
MADISON
WI
537920001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |