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Individual

MRS. STACY P CONNEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT,CHT

Contact information

Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6172
Mailing address
98 ETNA ST, BRIGHTON, MA 02135-2831
(617) 783-4344

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5828
MA

Other

Enumeration date
11/29/2006
Last updated
07/08/2007
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