Individual
COURTNEY LYNN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-1000
Mailing address
8303 CORRISON RD, GRAND LEDGE, MI 48837-8215
(517) 920-3588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106215
MN
225X00000X
Occupational Therapist
5201009446
MI
Other
Enumeration date
04/25/2018
Last updated
08/21/2022
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