Individual
MS. CHERYL M CONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
300 N BROADWAY, SUITE 3C, GREEN BAY, WI 54303-2702
(920) 437-7246
(920) 437-1511
Mailing address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 437-7246
(920) 437-1511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2368024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368-024
LICENSE
WI
05
—
4029180000
—
WI
Enumeration date
08/25/2006
Last updated
06/06/2024
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