Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER ANN MANDEVILLE, OTR/L
Active Sole ProprietorSpecialist · KILLINGWORTH, CT
Registration Details
- NPI Number
- 1720332323
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2012 (13.501618807122 yrs)
- Last Updated
- Nov 4, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 DEER RIDGE RDKILLINGWORTH, CT, 064192326Browse CT providers · Browse ZIP 06419
- Phone
- 8609170499
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in KILLINGWORTH, CT
| Name | Credential | NPI |
|---|---|---|
| MS. NICOLE CHRISTINE CUOMO | OTR | 1861522351 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.