Individual
MEIGHAN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
1145 E 13TH AVE, BROOMFIELD, CO 80020-1301
(303) 466-6308
Mailing address
1145 E 13TH AVE, BROOMFIELD, CO 80020-1301
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0002848
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0002848
DEPARTMENT OF REGULATORY AFFAIRS LICENSE
CO
Enumeration date
12/04/2018
Last updated
12/04/2018
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