Individual
MRS. DANEA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS, MAT
Contact information
Practice address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 395-3920
Mailing address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
01/27/2015
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