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NPI Code Detail

MEDICARE: HOLLY CONRAD OTR/L

MEDICARE: HOLLY CONRAD OTR/L
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
1225X00000XOccupational Therapist1969WV

General Provider Information

NPI Number : 1144704149
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY CONRAD OTR/L
Provider Business Mailing Address
First Line : 179 STATION PL
Second Line :
City : HURRICANE
State : WV
Zip : 25526-6578
Country : US
Telephone Number : 304-760-6300
Fax Number : 304-201-5123
Provider Business Practice Location Address
First Line : 179 STATION PL
Second Line :
City : HURRICANE
State : WV
Zip : 25526-6578
Country : US
Telephone Number : 304-760-6300
Fax Number : 304-201-5123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2018
Last Update Date : 09/17/2018

Similar Medicare Providers

1427761949 — HANNAH COX
Practice Location Address:
179 STATION PL
HURRICANE, WV
25526-6578
Practice Phone: 304-760-6300
Practice Fax: 304-201-5123
1689095630 — JENNA DIANE RUNYAN MS,CCC-SLP
Practice Location Address:
179 STATION PL , SUITE 100
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25526-6578
Practice Phone: 304-760-6300
Practice Fax: 304-201-5123
1588072714 — CORTNEY GRIGSBY OTR/L
Practice Location Address:
179 STATION PL , SUITE 100
HURRICANE, WV
25526-6578
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Practice Fax: 304-201-5123
1437550209 — ASHLEY LONGWELL
Practice Location Address:
179 STATION PL , SUITE 100
HURRICANE, WV
25526-6578
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Practice Fax: 304-201-5123
1669879078 — STACY WARREN DPT
Practice Location Address:
179 STATION PL , SUITE 100
HURRICANE, WV
25526-6578
Practice Phone: 304-760-6300
Practice Fax: 304-201-5123
1124413471 — ERICA BURDETTE
Practice Location Address:
179 STATION PL , SUITE 100
HURRICANE, WV
25526-6578
Practice Phone: 304-760-6300
Practice Fax: 304-201-5123

Directions to “ HOLLY CONRAD OTR/L” Practice Location

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