Irene A Connell, OTR is a
Occupational Therapist based in Fruitland, Idaho. Irene A Connell is licensed to practice in Idaho (license number OT-1937) and her current practice location is
255 Magnolia Ave, Fruitland, Idaho. She can be reached at her office (for appointments etc.) via phone at
(541) 216-3142.
NPI number for Irene A Connell is 1689152928 and her current mailing address is 255 Magnolia Ave, Fruitland, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689152928.
Healthcare Provider's Profile
| Full Name | Irene A Connell |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 255 Magnolia Ave, Fruitland, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689152928
- Provider Enumeration Date: 07/30/2018
- Last Update Date: 07/30/2018
Medical Identifiers
Medical identifiers for Irene A Connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689152928 | NPI | - | NPPES |
| 1020322 | Other | | NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY |
| OT-1937 | Other | ID | THE OCCUPATIONAL THERAPY LICENSURE BOARD |
| 1020322 | Other | OR | OCCUPATIONAL THERAPY LICENSING BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT-1937 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Irene A Connell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Irene A Connell, OTR
255 Magnolia Ave,
Fruitland, ID 83619-5019
Ph: (541) 216-3142 | Irene A Connell, OTR
255 Magnolia Ave,
Fruitland, ID 83619-5019
Ph: (541) 216-3142 |
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