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Individual

MADELINE N CONNAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1200 N MILITARY HWY, NORFOLK, VA 23502-2227
(757) 961-5888
Mailing address
2404 POTTERS RD STE 400, VIRGINIA BEACH, VA 23454-4335
(757) 961-5888

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217556
VA
225100000X
Physical Therapist
CP042853T
VA
225100000X
Physical Therapist
PT017362
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2305217556
VIRGINIA
VA
01
CP042853T
COMPACT
VA
01
PT017362
PT LICENSE
GA
Enumeration date
09/18/2024
Last updated
01/20/2026
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