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

IRENE A CONNELL, OTR

Active Sole Proprietor

IRENE A CONNELL, OTR is a Occupational Therapist healthcare provider located in FRUITLAND, Idaho. NPI 1689152928 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FRUITLAND, ID

Registration Details

NPI Number
1689152928
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2018 (7.9998032593668 yrs)
Last Updated
Jul 30, 2018
License
OT-1937 (ID)
Sole Proprietor
Yes

Practice Information

Address
255 MAGNOLIA AVE
FRUITLAND, ID, 836195019
Browse ID providers · Browse ZIP 83619
Phone
5412163142
Primary Specialty
Occupational Therapist
225X00000X
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.