| Doctor Name: | ILEEN S. CONN |
| NPI Number: | 1821254699 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R..P.T. |
| License Number: | 3926 |
| Business Practice Address: | 130 Parker St Lawrence, MA - 018431556 |
| Business Phone Number: | 9786885070 |
| Business Fax Number: | |
| Mailing Address: | 87 Cheever Cir, ANDOVER |
| State: | MA |
| Postal Code: | 018101739 |
| Phone Number: | 9784755777 |
| Fax Number: | 2532760963 |
| NPI Enumeration Date: | 07/31/2008 |
| NPI Last Update Date: | 08/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3926 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |