Individual
BRIGETTE MARY MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3141 E BROAD ST STE 111, MANSFIELD, TX 76063-6425
(817) 435-5248
(817) 435-5249
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
1170550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15065082
CAQH
TX
Enumeration date
01/15/2021
Last updated
02/29/2024
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