Individual
MR. CONRADO M PALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2630 SAN GABRIEL BLVD, SUITE 104, ROSEMEAD, CA 91770-5204
(626) 307-1718
Mailing address
672 VALLEY SPRINGS DR, WALNUT, CA 91789-4136
(626) 643-6674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT19720
CA LICENSE
CA
Enumeration date
01/30/2007
Last updated
07/08/2007
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