Individual
MRS. ANGELA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
3904 CHAMBRAY CT, COLUMBIA, MO 65203-5856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000163971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109505
GROUP HEALTH PLAN INDIVI
MO
01
—
131417
BCBS GROUP #
MO
01
—
449897
HEALTHLINK GROUP #
MO
Enumeration date
07/01/2005
Last updated
07/09/2007
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