Individual
MRS. COLLEEN CONNAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
40QA01160500
NJ
225100000X
Physical Therapist
22009
MD
225100000X
Physical Therapist
Primary
40QA01160500
NJ
Other
Enumeration date
04/05/2007
Last updated
08/07/2012
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