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1356196067
CONNER SCALLAN
RICHMOND, VA
NPI
1356196067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306606325)
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
CONNER SCALLAN PTA
8003 FRANKLIN FARMS DR
RICHMOND, VA 23229-5107
Phone number: 804-945-0577
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Mailing Address
CONNER SCALLAN PTA
10712 PROVIDENCE PARK DR
ASHLAND, VA 23005-7488
Phone number: 804-690-2537
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