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VIVIAN CONNELLY PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1851310072

Individual Registrant:
 VIVIAN  CONNELLY PT
Gender: F
Sole Proprietor

Location and contact information for practice:
352 VOLLEY CT  WALL TOWNSHIP, NJ 07719-9469 US
Tel: 732-552-6547  Fax: --

Contact information for business:
352 VOLLEY CT  WALL TOWNSHIP, NJ 07719-9469 US
Tel: --  Fax: --

Registration Information:
NPI: 1851310072
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
NJ40QA00488000

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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