Individual
MRS. NICHOLE ANN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
745 FAIRVIEW AVE, GETTYSBURG, PA 17325-1922
(717) 321-4615
Mailing address
745 FAIRVIEW AVE, GETTYSBURG, PA 17325-1922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007006
PA
Other
Enumeration date
01/26/2011
Last updated
03/12/2012
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