Individual
SUSAN K CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 GAFFNEY RD STOP 7440, FT WAINWRIGHT, AK 99703-5007
(907) 580-1656
Mailing address
1060 GAFFNEY RD STOP 7440, FT WAINWRIGHT, AK 99703-5007
(907) 580-1656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23553
FL
Other
Enumeration date
08/22/2013
Last updated
09/25/2013
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