Individual provider · Type 1 NPI

Stacey Gordon Connelly, OTRL CHT

Occupational Therapist · Providence, RI

NPI number 1174580872 Active

Practice location

164 Summit Ave
Providence, RI 02906-2853

Call (401) 793-2500 Map

Mailing address

424 River Ave
Providence, RI 02908-3438

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT00892 (RI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1174580872

Stacey Gordon Connelly, OTRL CHT's National Provider Identifier is 1174580872, issued on Apr 27, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.