Individual
RENEE MARIE CONRADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-8667
(920) 320-8616
Mailing address
2300 WESTERN AVE, PO BOX 2170, MANITOWOC, WI 54220-3712
(920) 320-8667
(920) 320-8616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
786-019
WI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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