# IRENE A CONNELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689152928
- **Gender:** F
- **Credential:** OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-1937 | ID | Yes |

## Other

- **Enumeration date:** 07/30/2018
- **Last updated:** 07/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1020322 | OCCUPATIONAL THERAPY LICENSING BOARD | OR |
| 01 | — | 1020322 | NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY | — |
| 01 | — | OT-1937 | THE OCCUPATIONAL THERAPY LICENSURE BOARD | ID |