Individual
M. CELESTE MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 E 9TH AVE, TRUTH OR CONSEQUENCES, NM 87901-1961
(575) 894-2111
Mailing address
628 CAMBECK DR SE UNIT 2, LELAND, NC 28451-1489
(910) 274-4671
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT4407
NM
225XP0200X
Pediatric Occupational Therapist
5666
NC
Other
Enumeration date
05/07/2007
Last updated
05/17/2021
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