Individual
RAE MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
35 RIVER RD, COS COB, CT 06807-2759
(203) 422-0679
(203) 422-0931
Mailing address
35 RIVER RD, COS COB, CT 06807-2759
(203) 422-0679
(203) 422-0931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015452-1
NY
225X00000X
Occupational Therapist
3873
CT
Other
Enumeration date
07/18/2011
Last updated
11/08/2013
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