Individual
MS. MARY WILSON CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
5975 S BLACKBURN RD, ATHENS, OH 45701-3847
(603) 285-5387
Mailing address
5975 S BLACKBURN RD, ATHENS, OH 45701-3847
(603) 285-5387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-003420
OH
Other
Enumeration date
06/02/2013
Last updated
06/02/2013
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