Individual
MICHELLE RAE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
790 VETERANS WAY, PENSACOLA, FL 32507-1000
(850) 912-2377
Mailing address
1664 QUARTZ AVE, CANTONMENT, FL 32533-6335
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA20589
FL
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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