Individual
CHRISTINE CONNERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 IDAHO ST, LEWISTON, ID 83501-1965
(208) 799-5219
Mailing address
1030 RICHARDSON AVE, LEWISTON, ID 83501-5440
(208) 790-2820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1497
ID
225100000X
Physical Therapist
Primary
60120433
WA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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