Stacey Gordon Connelly in Providence - Occupational Therapist
Stacey Gordon Connelly - NPI 1174580872
Stacey Gordon Connelly is a Occupational Therapist in Providence, Rhode Island. Stacey Gordon Connelly practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Stacey Gordon Connelly is 1174580872. The last update date is 2007-07-08.
Stacey Gordon Connelly's current location address is 424 River Ave, Providence, Rhode Island. You can contact this provider via phone number 4018612976. The mailing address for Stacey Gordon Connelly is 424 River Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Gordon Connelly |
|---|---|
| Address | 424 River Ave, Providence, Rhode Island |
| Phone Number | 4018612976 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTRL CHT |
NPI Number Detail
| NPI Number | 1174580872 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 424 River Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29083438 |
| Phone Number | 4018612976 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT00892 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291880 | RI | BCBS OF RI | |
| 1072 | RI | BLUE CHIP OF RI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stacey Gordon Connelly by the Centers for Medicare & Medicaid Services?
The Stacey Gordon Connelly has been assigned the NPI (National Provider Identifier) 1174580872 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Stacey Gordon Connelly is physically located?
The Stacey Gordon Connelly is situated at the following address: 424 River Ave, Providence, RI 29083438.
What is Stacey Gordon Connelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacey Gordon Connelly is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
When did the Stacey Gordon Connelly receive its 1174580872?
The Stacey Gordon Connelly was issued its 1174580872 on 2006-04-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Stacey Gordon Connelly most recently updated?
The details pertaining to the Stacey Gordon Connelly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM