Individual
TIMOTHY RICHARD CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(210) 710-7288
Mailing address
PO BOX 2066, FORT CAMPBELL, KY 42223-2066
(210) 710-7288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1166488
TX
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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