| Stacey Gordon Connelly, OTRL CHT | |
|
164 Summit Ave, Providence, RI 02906-2853 | |
| (401) 793-2500 | |
| Not Available |
| Full Name | Stacey Gordon Connelly |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 164 Summit Ave, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174580872 | NPI | - | NPPES |
| 00000291880 | Other | RI | BCBS OF RI |
| 001072 | Other | RI | BLUE CHIP OF RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00892 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Gordon Connelly, OTRL CHT 424 River Ave, Providence, RI 02908-3438 Ph: (401) 861-2976 | Stacey Gordon Connelly, OTRL CHT 164 Summit Ave, Providence, RI 02906-2853 Ph: (401) 793-2500 |
Caitlin Kelly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Jennifer B Roosa, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy Street, Providence, RI 02905 Phone: 401-533-9100 | |
Allison Marie Hourahan, OTR/L, CLT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 668 Eddy St, Providence, RI 02903 Phone: 401-274-1122 | |
Ms. Diana Navarro, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Blackstone Blvd, Providence, RI 02906 Phone: 401-273-6565 | |
Mrs. Kelly L. Klampert, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Kristen Laurie Bourque, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9165 Fax: 401-533-9105 | |
Miss Christa N Fadden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8661 |