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Individual
PETER A CONRIQUE
Active
Individual
PETER A CONRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25868
FL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/30/2006
Last updated
09/14/2010
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