National Provider Identifier
Brookleigh Renne Manioci, COTA
Brookleigh Renne Manioci, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Fairport, NY and a listed phone number of (585) 377-2230.
Profile Overview
- NPI
- 1740599927
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- October 05, 2010
- Last Updated
- February 03, 2020
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Mailing Address
- 34 Illinois St
- Rochester, NY 14609-7433
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1740599927
- Entity Type
- Individual
- Last Name
- Manioci
- First Name
- Brookleigh
- Middle Name
- Renne
- Name Prefix
- MS.
- Credential
- COTA
- Mailing Street Address
- 34 Illinois St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-7433
- Mailing Country
- US
- Mailing Phone
- (585) 944-0733
- Practice Street Address
- 149 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1434
- Practice Country
- US
- Practice Phone
- (585) 377-2230
- Enumeration Date
- October 05, 2010
- Last Updated
- February 03, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)