Individual
IAN CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HIGH ST, WAKEFIELD, RI 02879-3144
(401) 783-8077
(401) 789-6029
Mailing address
10 HIGH ST, WAKEFIELD, RI 02879-3144
(401) 783-8077
(401) 789-6029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01577
RI
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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