Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 0017376 | CO |
N | 2251S0007X | Physical Therapist - Sports | 0017376 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | 0017376 | CO |
NPI | 1548844731 |
---|---|
Provider Name | Sarah Corinne Conners |
First Address | Westcliife, CO 81252 |
Second Address | Westcliife, CO 81252 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2021 |
Last Update Date | 12/05/2021 |