Provider Demographics
NPI:1023562071
Name:CONNORS, COLLEEN FRANCES (DPT)
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:FRANCES
Last Name:CONNORS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-1476
Mailing Address - Country:US
Mailing Address - Phone:607-763-6033
Mailing Address - Fax:
Practice Address - Street 1:33 N HARRISON ST
Practice Address - Street 2:PHYSICAL THERAPY
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-1407
Practice Address - Country:US
Practice Address - Phone:607-763-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist