Individual
ALEXIS CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-4000
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4229
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A4229
—
MD
Enumeration date
03/31/2015
Last updated
04/18/2024
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