Provider Demographics
NPI:1962774570
Name:CONNER, AFTON DAWN (PTA)
Entity type:Individual
Prefix:MRS
First Name:AFTON
Middle Name:DAWN
Last Name:CONNER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 KENT STREET
Mailing Address - Street 2:VALLEY VIEW CARE CENTER
Mailing Address - City:ANDREWS
Mailing Address - State:NC
Mailing Address - Zip Code:28901
Mailing Address - Country:US
Mailing Address - Phone:828-321-0808
Mailing Address - Fax:
Practice Address - Street 1:215 GRIFFITH RD
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-3752
Practice Address - Country:US
Practice Address - Phone:828-837-2607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA3868225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant