| NPI | 1922659655 |
|---|---|
| Former Name | MEGAN CONNOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CA 18493) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |