Individual
JOSEPH CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 S LOCUST ST, GLENWOOD, IA 51534-1872
(712) 527-2163
Mailing address
55290 FORRESTER VALLEY LN, GLENWOOD, IA 51534-6396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004603
IA
225100000X
Physical Therapist
Primary
3331
NE
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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