Individual
CARLY NOELLE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15161 SONOMA DR APT 304, FORT MYERS, FL 33908-7696
(860) 605-3141
Mailing address
15161 SONOMA DR APT 304, FORT MYERS, FL 33908-7696
(860) 605-3141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2018
Last updated
03/07/2022
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