Individual
CONNIE SUE BANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
Mailing address
702 WOODROW DR, AUBURNDALE, FL 33823-2047
(863) 965-1274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P.T. 3078
FL
Other
Enumeration date
07/27/2006
Last updated
07/09/2007
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