IndividualActive
Andrea Mannarino, COTA
NPI 1275936429 · Occupational Therapy Assistant · Poplarville, MS
Provider details
- NPI number
- 1275936429
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA2953 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
629 Slade Woodward Rd
Poplarville, MS 39470-7157
Phone: (228) 363-3116
Approximate (ZIP-level) locationGet directions
Mailing address
629 Slade Woodward Rd
Poplarville, MS 39470-7157
Registry dates
- Enumerated
- 2014-10-02
- Last updated
- 2014-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.