Manniello, Kristina Ellen

Manniello, Kristina Ellen is an sole proprietor health care provider with primary practice located at 1022 Mount Whitney Dr , Summerville SC 29483-3318. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Manniello, Kristina Ellen can be contacted via phone (413) 949-0986.

Contact Information

Primary practice address
1022 Mount Whitney Dr Summerville SC 29483-3318
Phone: (413) 949-0986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 3313 Massachusetts

Profile Details

NPI number 1639238975
LBN Legal business name Manniello, Kristina Ellen
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Jul 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639238975 NPPES
Massachusetts MEDICAID 0359068

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