Individual
MRS. SUSAN DOOLEY CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 GARFIELD AVE, EVANSVILLE, WI 53536-1014
(608) 882-6557
Mailing address
248 BA WOOD LN, JANESVILLE, WI 53545-0705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1596-019
WI
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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