MR. Ronald Glenn Conrad I, PTA

NPI #1972739324 in Rockton, Illinois

Provider Information

NPI Number
1972739324
Entity Type
Individual
Name
MR. Ronald Glenn Conrad I, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 29, 2009
Last Updated
May 29, 2009

Practice Location

Address
11971 WAGON WHEEL RD
ZIP Code
61072-3322
Phone
(815) 624-2615

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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