James Clark Connelly, PT, DPT
Physical Therapist in Brookhaven, GA. Individual provider (NPI-1).
NPI number1902321763
StatusActive
Last updated in NPPESAug 13, 2017
Details
- NPI
- 1902321763
- Entity type
- Individual (NPI-1)
- Name
- James Clark Connelly
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2017
- Last updated
- Aug 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT013045 | GA | Yes |
Practice location
705 Town Blvd Ne Ste S550Brookhaven, GA 30319-7216
Phone 404-869-1912 · Fax 404-869-6515
Mailing address
6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564
Phone 423-238-7217 · Fax 423-362-8684
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