Individual
DOMINIQUE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
18220 TX-249, HOUSTON, TX 77070
(262) 748-6140
Mailing address
18220 TX-249, HOUSTON, TX 77070
(262) 748-6140
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7824
TX
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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