Mrs. Jennifer A Mandeville, OTR/L
Specialist in Killingworth, Connecticut
1720332323- Practice location
- 14 Deer Ridge RD, Killingworth, CT 06419-2326
- Phone
- 860-917-0499
- Fax
- —
- Last updated
- November 4, 2012
Jennifer Ann Mandeville is a Specialist based in Killingworth, CT. Jennifer Ann Mandeville practices in Killingworth, CT and has the professional credentials of OTR/L. The NPI Number for Jennifer Ann Mandeville is 1720332323. The current practice location address for Jennifer Ann Mandeville is 14 Deer Ridge RD, Killingworth, CT 06419-2326 and can be reached out via phone at 860-917-0499.
Provider Profile Details
- NPI Number
- 1720332323
- Provider Name
- Jennifer Ann Mandeville
- Credential
- OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14 Deer Ridge RD, Killingworth, CT 06419-2326
- Phone Number
- 860-917-0499
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 4, 2012
- Last Update Date
- November 4, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Deer Ridge RD
Killingworth, CT 06419-2326 - City
- Killingworth
- State
- Connecticut
- Zip
- 06419-2326
- Phone Number
- 860-917-0499
Provider Business Mailing Address Details
- Address
- 14 Deer Ridge RD
Killingworth, CT 06419-2326 - City
- Killingworth
- State
- CT
- Zip
- 06419-2326
- Phone Number
- 860-917-0499
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jennifer A Mandeville, OTR/L?
The NPI number of Mrs. Jennifer A Mandeville, OTR/L is 1720332323. It was assigned on November 4, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer A Mandeville, OTR/L?
Mrs. Jennifer A Mandeville, OTR/L is registered under the primary taxonomy Specialist (code 174400000X).
Where does Mrs. Jennifer A Mandeville, OTR/L practice?
The practice location is 14 Deer Ridge RD, Killingworth, CT 06419-2326. The office can be reached at 860-917-0499 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720332323 directly on the NPPES registry website.