Individual
MS. JENNIFER CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3320 DATA DR STE 400, RANCHO CORDOVA, CA 95670-7341
(916) 564-5010
Mailing address
4704 W RIALTO AVE, VISALIA, CA 93277-0644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12975
CA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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