Individual
JEANINE MARIE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC/L
Contact information
Practice address
295 OLD OAK ST, PEMBROKE, MA 02359-1955
(857) 444-1200
Mailing address
56 PROGRESSIVE AVE, WEST BRIDGEWATER, MA 02379-1126
(508) 243-5292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2372
MA
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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