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Individual

MR. DENNIS GEORGE CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
141 COLLEGE PARK DR, WEATHERFORD, TX 76086-6211
(817) 341-3600
(817) 599-8181
Mailing address
141 COLLEGE PARK DR, WEATHERFORD, TX 76086-6211
(817) 341-3600
(817) 599-8181

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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