Individual
BRIAN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1803 RESEARCH BLVD, SUITE 101, ROCKVILLE, MD 20850-3155
(301) 978-7730
(301) 978-7731
Mailing address
1803 RESEARCH BLVD, SUITE 101, ROCKVILLE, MD 20850-3155
(301) 978-7730
(301) 978-7731
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1316
MD
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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