STACEY GORDON CONNELLY

PROVIDENCE, RI
NPI1174580872
Other NameSTACEY LYNN GORDON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: RI  OT00892)
Enumeration Date2006-04-27
Last Update Date2007-07-08
Business Address
-- STACEY GORDON CONNELLY OTRL CHT
164 SUMMIT AVE
PROVIDENCE, RI 02906-2853
Phone number: 401-793-2500
Mailing Address
-- STACEY GORDON CONNELLY OTRL CHT
424 RIVER AVE
PROVIDENCE, RI 02908-3438
Phone number: 401-861-2976
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