Individual
RICHARD WILSON CONREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, PT
Contact information
Practice address
450 N STATE ROAD 7, PLANTATION, FL 33317-2834
(954) 584-1954
(954) 584-7794
Mailing address
450 N STATE ROAD 7, PLANTATION, FL 33317-2834
(954) 584-1954
(954) 584-7794
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POR150
FL
224P00000X
Prosthetist
Primary
POR150
FL
225100000X
Physical Therapist
PT11703
FL
Other
Enumeration date
03/24/2006
Last updated
10/11/2019
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