Individual
ASHLEY CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3251
(843) 693-4330
Mailing address
627 CORAL ST, MOUNT PLEASANT, SC 29464-4409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4739
REHABILITATIVE AND RESTORATIVE SERVICES
SC
Enumeration date
08/21/2018
Last updated
08/21/2018
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