MRS. Jennifer Ann Mandeville, OTR/L
NPI #1720332323 in Killingworth, Connecticut
Provider Information
- NPI Number
- 1720332323
- Entity Type
- Individual
- Name
- MRS. Jennifer Ann Mandeville, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- OTR/L
- Enumeration Date
- Nov 4, 2012
- Last Updated
- Nov 4, 2012
Practice Location
- Address
- 14 DEER RIDGE RD
- City
- Killingworth
- State
- Connecticut
- ZIP Code
- 06419-2326
- Phone
- (860) 917-0499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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