Conilogue Pt LLC

NPI #1811451016 in Fairfield, Iowa

Provider Information

NPI Number: 1811451016
Entity Type: Organization
Organization Name: Conilogue Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 22, 2019
Last Updated: Jun 10, 2021

Practice Location

Address: 1401 S MAIN ST STE 104
City: Fairfield
State: Iowa
ZIP Code: 52556-3771
Phone: (641) 209-1446

Authorized Official

Name: ADAM CONILOGUE, DPT
Title: MANAGING MEMBER
Phone: (402) 490-6432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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