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Individual

ROBBILYN CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
142 MARTIN LUTHER KING JR BLVD, MONROE, GA 30655-5620
(770) 207-1137
Mailing address
1011 DEE KENNEDY RD, AUBURN, GA 30011-2607
(678) 425-0408

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA000983
LICENSE#
GA
Enumeration date
11/08/2006
Last updated
07/08/2007
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