Individual
TRISHA CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3702 SUMMIT LOOP, WILLIAMSBURG, VA 23188-2772
(757) 849-3203
Mailing address
3702 SUMMIT LOOP, WILLIAMSBURG, VA 23188-2772
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001537
VA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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