Provider Demographics
NPI:1659896058
Name:CONNOR, ALANNA ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ALANNA
Middle Name:ELIZABETH
Last Name:CONNOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6259 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1605
Mailing Address - Country:US
Mailing Address - Phone:936-675-4347
Mailing Address - Fax:
Practice Address - Street 1:6206 E PIMA ST STE 3
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-733-6227
Practice Address - Fax:520-733-7328
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist