Individual
COLLEEN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11840 SOUTHMORE DR, STE 100, CHARLOTTE, NC 28277-4466
(704) 316-4443
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21232
NC
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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