Individual
CONNIE RENEE MASSENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2620 SCRIPTURE ST, DENTON, TX 76201-4315
(940) 297-6532
Mailing address
3401 MEADOWVIEW DR, CORINTH, TX 76210-2659
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
1106888
TX
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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