Individual
MARY MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
59 HYLAN BLVD APT 2F, STATEN ISLAND, NY 10305-2056
(917) 744-0125
Mailing address
59 HYLAN BLVD APT 2F, STATEN ISLAND, NY 10305-2056
(917) 744-0125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010624-01
NY
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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