Individual
MARY MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 SW MARGELA ST, PORT SAINT LUCIE, FL 34953-5221
(772) 979-3402
Mailing address
3512 SW MARGELA ST, PORT SAINT LUCIE, FL 34953-5221
(772) 979-3402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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