Individual
MR. DENNIS GEORGE CONNELLY
Active
Individual
MR. DENNIS GEORGE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1020766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5981572
AETNA INSURANCE
TX
01
—
8T1495
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/27/2006
Last updated
07/08/2007
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