Individual
MS. CONNIE SUE MANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 PARK MEADOWS DR, APT. 4, FORT MYERS, FL 33907-3768
(239) 689-1320
Mailing address
1707 PARK MEADOWS DR, APT. 4, FORT MYERS, FL 33907-3768
(239) 689-1320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA10219
FLORIDA BOARD OF OCCUPATIONAL THERAPY
FL
Enumeration date
08/23/2009
Last updated
08/23/2009
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