Connell, Mary
Connell, Mary is an individual health care provider with primary practice located at 8230 Hazelbrand Rd Ne Ste A , Covington GA 30014-1519. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Connell, Mary can be contacted via phone (770) 788-7034.Contact Information
Primary practice address
8230 Hazelbrand Rd Ne Ste A
Covington GA 30014-1519
Phone: (770) 788-7034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1170313 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2855 | Georgia |
Profile Details
| NPI number | 1376756759 |
|---|---|
| LBN Legal business name | Connell, Mary |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Mar 12th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376756759 | NPPES |
| Georgia | Other | 2855 | PT LICENSE |
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