Individual
DENISE S CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
4214 NICHOLS RD, MEDINA, OH 44256-7207
(330) 725-5355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04245
OH
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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