Terrell Connelly
Physical Therapy Assistant
1508 Olde Mckenzie Dr
Holly Springs
, North Carolina 27540-7268
Terrell Connelly
Physical Therapy Assistant
1508 Olde Mckenzie Dr
Holly Springs
, North Carolina 27540-7268
(919) 633-1157
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Terrell Connelly
- 1508 Olde Mckenzie Dr
- Holly Springs, NC
- Zip : 27540-7268
- Phone : (919) 633-1157
Second Address
- Terrell Connelly
- 1508 Olde Mckenzie Dr
- Holly Springs, NC
- Zip : 27540-7268
- Phone : (919) 633-1157
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 3371 | NC |
National Provider Identifier
| NPI | 1013394105 |
|---|---|
| Provider Name | Terrell Connelly |
| First Address | Holly Springs, NC 27540-7268 |
| Second Address | Holly Springs, NC 27540-7268 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2015 |
| Last Update Date | 28/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.