Most Relevant Information
Provider Data
| NPI Number: | 1003322850 |
| Provider Name: | KERRI LYNN CONNOLLY |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA2738 |
Most Important Dates
| Enumeration Date: | 12/15/2017 |
| Last Updated: | 12/15/2017 |
Provider Practice Location
1900 ATRIUM PKWY
NAPA
CA
945594824
Practice Location Phone/Fax
| Phone: | 7072577885 |
| Fax: |
Provider Mailing Location
3946N ALEXANDER ST
NAPA
CA
945582603
Provider Mailing Phone/Fax
| Phone: | 7078124101 |
| Fax: |