Individual
KRISTINA ELLEN MANNIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1022 MOUNT WHITNEY DR, SUMMERVILLE, SC 29483-3318
(413) 949-0986
Mailing address
1022 MOUNT WHITNEY DR, SUMMERVILLE, SC 29483-3318
(413) 949-0986
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3313
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359068
—
MA
Enumeration date
12/06/2006
Last updated
09/11/2025
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