Individual
MS. LILLIAN ROSE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 E PIONEER AVE STE 218, HOMER, AK 99603-7694
(907) 235-7473
Mailing address
PO BOX 779, HOMER, AK 99603-0779
(907) 399-3686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
186254
AK
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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