Individual
LEANN MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 HARVEY MITCHELL PKWY S, UNIT #3331, COLLEGE STATION, TX 77840-6312
(865) 250-7929
Mailing address
1725 HARVEY MITCHELL PKWY S, UNIT #3331, COLLEGE STATION, TX 77840-6312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2016
Last updated
01/22/2017
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