Individual
BERNADETTE D CONNOR
Active
Individual
BERNADETTE D CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070012340
IL
225100000X
Physical Therapist
Primary
LPT-011503
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079645
—
AZ
01
—
P00931611
MEDICARE RAILROAD
IL
Enumeration date
09/29/2006
Last updated
08/13/2025
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