Individual
DOUGLAS WILLIAM CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR
Contact information
Practice address
17421 17TH PL NE, SHORELINE, WA 98155-5201
(336) 688-1114
Mailing address
17421 17TH PL NE, SHORELINE, WA 98155-5201
(336) 688-1114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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