Individual
CONNER SCALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8003 FRANKLIN FARMS DR, RICHMOND, VA 23229-5107
(804) 945-0577
Mailing address
10712 PROVIDENCE PARK DR, ASHLAND, VA 23005-7488
(804) 690-2537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606325
VA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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