Timothy Connolly
Occupational Therapy Assistant in Pearland, TX. Individual provider (NPI-1).
NPI number1801376314
StatusActive
Last updated in NPPESAug 15, 2018
Details
- NPI
- 1801376314
- Entity type
- Individual (NPI-1)
- Name
- Timothy Connolly
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Last updated
- Aug 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 211441 | TX | Yes |
Practice location
12001 Shadow Creek PkwyPearland, TX 77584-7296
Phone 713-434-3800
Mailing address
908 Enid StHouston, TX 77009-3804
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