Individual
TIMOTHY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12001 SHADOW CREEK PKWY, PEARLAND, TX 77584-7296
(713) 434-3800
Mailing address
908 ENID ST, HOUSTON, TX 77009-3804
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211441
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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