Organization
CONNER THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L CONNER DEVELOPMENTAL THERAP (OWNER)
(630) 709-9271
Entity
Organization
Contact information
Practice address
910 MANLEY RD, SAINT CHARLES, IL 60174-5515
(630) 709-9271
Mailing address
910 MANLEY RD, SAINT CHARLES, IL 60174-5515
(630) 709-9271
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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