Individual
MRS. PAULA ANN CONNOLLY-CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
301 UNION AVE, LAKEHURST, NJ 08733-2935
(732) 657-5741
Mailing address
419 SAINT CLAIR AVE, SPRING LAKE, NJ 07762-1529
(732) 359-6175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00004500
NJ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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