Christopher Conrad, PT

NPI #1245775519 in Lake Grove, New York

Provider Information

NPI Number: 1245775519
Entity Type: Individual
Name: Christopher Conrad, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 22, 2016
Last Updated: Dec 22, 2016

Practice Location

Address: 2848 MIDDLE COUNTRY ROAD
City: Lake Grove
State: New York
ZIP Code: 11755-1915
Phone: (631) 780-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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