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Individual

MS. CATHLEEN MARIE CONNOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
220 S DIVISION AVE, SANDPOINT, ID 83864-1759
(208) 265-4514
(208) 263-3789
Mailing address
220 S DIVISION AVE, SANDPOINT, ID 83864-1759
(208) 265-4514
(208) 263-3789

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-863
ID

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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