Individual
MADELINE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1543 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-2273
Mailing address
357 GILMORE ST APT A, MORGANTOWN, WV 26505-4654
(865) 466-3619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2444
WV
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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