Provider Demographics
NPI:1548399819
Name:MANLEY, RITA (COTA)
Entity Type:Individual
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First Name:RITA
Middle Name:
Last Name:MANLEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
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Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:610-991-2034
Mailing Address - Fax:610-438-2046
Practice Address - Street 1:26 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MONT VERNON
Practice Address - State:NH
Practice Address - Zip Code:03057-1403
Practice Address - Country:US
Practice Address - Phone:610-991-2034
Practice Address - Fax:610-438-2046
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH306517Medicare Oscar/Certification