Individual
JOSEPH P CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 W POE RD, BOWLING GREEN, OH 43402-1219
(419) 866-5275
(419) 866-5663
Mailing address
1560 HENTHORNE DR, MAUMEE, OH 43537-1371
(419) 866-5275
(419) 866-5663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7290
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609899061
CORP NPI
OH
05
—
2526654
—
OH
Enumeration date
11/30/2009
Last updated
11/30/2009
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