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NPI Code Detail

MEDICARE: MS. DANIELLE MARIE CONRAD DPT

MEDICARE:  MS. DANIELLE MARIE CONRAD  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT018287PA
2225100000XPhysical Therapist21534MD
3225100000XPhysical TherapistPT018772OH

General Provider Information

NPI Number : 1093758070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE MARIE CONRAD DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-541-5492
Fax Number :
Provider Business Practice Location Address
First Line : 6006 MAHONING AVE STE G
Second Line :
City : AUSTINTOWN
State : OH
Zip : 44515-2239
Country : US
Telephone Number : 330-755-3000
Fax Number : 234-226-4201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 02/03/2022

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Directions to “ MS. DANIELLE MARIE CONRAD DPT” Practice Location

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