Tonya Michelle Conrad

NPI #1730414194 in Fairfield, Illinois

Provider Information

NPI Number: 1730414194
Entity Type: Individual
Name: Tonya Michelle Conrad
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 2, 2009
Last Updated: Oct 2, 2009

Practice Location

Address: 505 W WOODLAND DR
City: Fairfield
State: Illinois
ZIP Code: 62837-1059
Phone: (618) 842-2587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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