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Individual
MRS. PETRA CONAWAY
Active
Individual
MRS. PETRA CONAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.020414
IL
225100000X
Physical Therapist
Primary
PTL.0012401
CO
Other
Enumeration date
03/20/2014
Last updated
10/18/2018
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