Individual
KIMBERLY RENEE CONNOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1012 24TH AVE NW, NORMAN, OK 73069-6490
(405) 601-4303
Mailing address
6501 SE 163RD CT, OKLAHOMA CITY, OK 73165-1603
(405) 343-7282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2698
OK
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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