Provider Demographics
NPI:1730389404
Name:CONNOR, COLEY ELIZABETH (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:COLEY
Middle Name:ELIZABETH
Last Name:CONNOR
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:HGI HEALTHCARE INC
Mailing Address - Street 2:16405 NORTHCROSS DRIVE SUITE 3
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078
Mailing Address - Country:US
Mailing Address - Phone:888-330-6907
Mailing Address - Fax:480-393-4115
Practice Address - Street 1:16405 NORTHCROSS DRIVE
Practice Address - Street 2:SUITE G-2
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:888-330-6907
Practice Address - Fax:480-393-4115
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1604224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant