Mrs. Jane Desmond Connely
Occupational Therapist - Neurorehabilitation
47 Santa Rosa St
San Luis Obispo
, California 93405-1811
Mrs. Jane Desmond Connely
Occupational Therapist - Neurorehabilitation
47 Santa Rosa St
San Luis Obispo
, California 93405-1811
(949) 433-8457
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Jane Desmond Connely
- 475 Poa Pl
- San Luis Obispo, CA
- Zip : 93405-4768
- Phone : (949) 433-8457
Second Address
- Mrs. Jane Desmond Connely
- 47 Santa Rosa St
- San Luis Obispo, CA
- Zip : 93405-1811
- Phone : (949) 433-8457
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 13961 | CA |
National Provider Identifier
| NPI | 1972852770 |
|---|---|
| Provider Name | Mrs. Jane Desmond Connely |
| First Address | San Luis Obispo, CA 93405-4768 |
| Second Address | San Luis Obispo, CA 93405-1811 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2012 |
| Last Update Date | 21/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 13961 | CBOT (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.