Individual
MS. MELISSA COUILLARD MANNETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
(508) 747-4898
Mailing address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
(508) 747-4898
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7529
MA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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