Individual
MS. CONNIE LYNN PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
2807 W 19TH ST, RUSSELLVILLE, AR 72802-9067
(479) 967-7257
(479) 967-7257
Mailing address
2807 W 19TH ST, RUSSELLVILLE, AR 72802-9067
(479) 967-7257
(479) 967-7257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1323
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S700
ABCBS PROVIDER NUMBER
AR
Enumeration date
05/02/2006
Last updated
07/09/2007
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