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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

R L CONERLY JR., OT

Active Sole Proprietor

R L CONERLY JR., OT is a Occupational Therapist healthcare provider located in RIDGELAND, Mississippi. NPI 1174741557 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · RIDGELAND, MS

Registration Details

NPI Number
1174741557
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2007 (19.121982767407 yrs)
Last Updated
Sep 11, 2025
Licenses
PTA2379 (MS)
OT1963 (MS)
Sole Proprietor
Yes

Practice Information

Address
711 AVIGNON DR
RIDGELAND, MS, 391575120
Browse MS providers · Browse ZIP 39157
Phone
6016056777
Fax
8005176935
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in RIDGELAND, MS

Name Credential NPI
MRS. CHRISTINA FOSTER WILLIAMS LPTA 1104974690
ANGELIA DENISE LAMBERT LPTA 1265580799
MR. REGINALD A JOHNSON LPTA 1720136245
MR. JOHN MICHAEL KIMBRIEL LPTA 1033267554
MR. JEREMY W DESCOMBES SR. PTA 1790833259
JOHNNY JULIAN PERKINS JR. PTA 1184772675
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.