Stacey Gordon Connelly, OTRL CHT
NPI #1174580872 in Providence, Rhode Island
Provider Information
- NPI Number
- 1174580872
- Entity Type
- Individual
- Name
- Stacey Gordon Connelly, OTRL CHT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTRL CHT
- Enumeration Date
- Apr 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 164 SUMMIT AVE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-2853
- Phone
- (401) 793-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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