Individual
MARISSA RUKE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 W GORE ST STE 104, ORLANDO, FL 32806-1041
(407) 841-8911
Mailing address
100 W GORE ST STE 104, ORLANDO, FL 32806-1041
(407) 841-8911
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT23595
FL
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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