Individual
MRS. JODIE SUE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3680 DOLSON CT, CARROLL, OH 43112-9721
(740) 654-0641
(740) 654-3896
Mailing address
5041 EBRIGHT RD, CANAL WINCHESTER, OH 43110-9191
(614) 834-3870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3707
OH
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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