Individual
XIAO YAN CONNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(321) 238-8277
Mailing address
2721 STRATFORD POINTE DR, W MELBOURNE, FL 32904-8062
(321) 238-8277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14013
FL
Other
Enumeration date
11/29/2014
Last updated
11/29/2014
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