Individual
MS. CONNIE JEAN UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
17322 ZEIDER LN, HUNTINGTON BEACH, CA 92647-6337
(813) 842-8707
Mailing address
17322 ZEIDER LN, HUNTINGTON BEACH, CA 92647-6337
(813) 842-8797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
911
FL
225X00000X
Occupational Therapist
Primary
9427
CA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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