Individual
JESSICA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1913 NORTH WAYNE ST,, SUITE D, ANGOLA, IN 46703
(260) 624-2288
(260) 624-2286
Mailing address
4251 LAHMEYER RD., FORT WAYNE, IN 46815
(260) 432-4700
(260) 459-9262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011737A
IN
Other
Enumeration date
06/15/2015
Last updated
10/27/2017
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