Individual
LYDIA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1736 S CONGRESS AVE, PALM SPRINGS, FL 33461-2140
(724) 977-4061
Mailing address
408 NE 6TH ST UNIT 736, FORT LAUDERDALE, FL 33304-6418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31458
FL
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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