Provider Demographics
NPI:1063794998
Name:CONNOR, ANNEMARIE (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:CONNOR
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 LONGBOAT DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-3327
Mailing Address - Country:US
Mailing Address - Phone:239-649-4937
Mailing Address - Fax:
Practice Address - Street 1:2441 LONGBOAT DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3327
Practice Address - Country:US
Practice Address - Phone:239-649-4937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11596225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist