Kevin M Connellan, PT
Physical Therapist in Wallingford, CT. Individual provider (NPI-1).
NPI number1962500504
StatusActive
Last updated in NPPESJul 24, 2015
Details
- NPI
- 1962500504
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin M Connellan
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 7235 | CT | Yes |
Practice location
97 Barnes RdWallingford, CT 06492-1885
Phone 203-793-7592 · Fax 203-793-7397
Mailing address
47 N Main StWest Hartford, CT 06107-1926
Phone 860-409-4595 · Fax 860-409-4860
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All 116 Physical Therapist providers in Wallingford · All 1,151 providers in Wallingford
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