Individual
MRS. TONJA J CONNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4935 STEWART MILL RD, STE 101, DOUGLASVILLE, GA 30135-6733
(678) 838-4433
(678) 838-4093
Mailing address
32 CLIFF CT, VILLA RICA, GA 30180-4598
(404) 754-9887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004420
GA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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