Individual
CRAIG CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3817 COLONEL GLENN HWY, BEAVERCREEK, OH 45324-2031
(937) 427-9200
Mailing address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA010199
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
06/03/2016
Last updated
03/17/2018
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