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Individual

DANE CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
PO BOX 2486, BENTONVILLE, AR 72712-7700
(479) 381-9180
Mailing address
PO BOX 2486, BENTONVILLE, AR 72712-7700

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53290
CA
225200000X
Physical Therapy Assistant
TE010342
PA

Other

Enumeration date
12/05/2014
Last updated
08/21/2024
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