Individual
CHARLOTTE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76199-2211
(682) 885-6924
(682) 885-1135
Mailing address
515 W LINGLEVILLE RD, STEPHENVILLE, TX 76401-2211
(254) 965-3611
(254) 965-3618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114610
TX
225X00000X
Occupational Therapist
Primary
20546287
TX
Other
Enumeration date
05/22/2012
Last updated
08/20/2018
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