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NPI Code Detail

MEDICARE: MS. JANINE EUGENIO CONLEY DPT

MEDICARE: MS. JANINE EUGENIO CONLEY 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 Therapist070016865IL
2225100000XPhysical TherapistPT24572FL

General Provider Information

NPI Number : 1699914994
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANINE EUGENIO CONLEY DPT
Provider Business Mailing Address
First Line : 2060 WHITNEY DR
Second Line :
City : CLEARWATER
State : FL
Zip : 33760-1812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 CLEARWATER LARGO RD N
Second Line :
City : LARGO
State : FL
Zip : 33770-4126
Country : US
Telephone Number : 727-586-2999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2009
Last Update Date : 06/21/2020

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