Individual
DANA CONILOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
333 1ST ST N, SUITE 200, JACKSONVILLE BEACH, FL 32250-6945
(888) 909-5038
Mailing address
1600 S D ST, FAIRFIELD, IA 52556-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6076
OR
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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