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
ZIP Code
02906-2853
Phone
(401) 793-2500

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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