Martin James Connelly in Eureka - Occupational Therapist
Martin James Connelly - NPI 1275697054
Martin James Connelly is a Occupational Therapist in Eureka, Missouri. Martin James Connelly practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Martin James Connelly is 1275697054. The last update date is 2007-07-08.
Martin James Connelly's current location address is 2415 Sunrise Dr, Eureka, Missouri. You can contact this provider via phone number 6369386534. The mailing address for Martin James Connelly is 2415 Sunrise Dr, Eureka, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin James Connelly |
|---|---|
| Address | 2415 Sunrise Dr, Eureka, Missouri |
| Phone Number | 6369386534 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1275697054 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2415 Sunrise Dr |
|---|---|
| City | Eureka |
| State | Missouri (MO) |
| Post Code | 630253512 |
| Phone Number | 6369386534 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1454 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identifier code issued to Martin James Connelly by the Centers for Medicare & Medicaid Services?
The Martin James Connelly has been assigned the NPI (National Provider Identifier) 1275697054 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Martin James Connelly's physical address?
The Martin James Connelly is physically located at 2415 Sunrise Dr, in the city of Eureka, MO, with the postal code 630253512.
What is Martin James Connelly's area of expertise and its corresponding taxonomy classification?
The Martin James Connelly's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Martin James Connelly receive its 1275697054 assignment from the Centers for Medicare & Medicaid Services?
The Martin James Connelly was assigned its 1275697054 by the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information pertaining to Martin James Connelly most recently updated or revised?
The details related to Martin James Connelly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.