Organization
CONQUEST,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYANT K ELKINS DPT (OWNER)
(812) 568-0925
Entity
Organization
Contact information
Practice address
7145 E VIRGINIA ST, SUITE 5000, EVANSVILLE, IN 47715-9144
(812) 476-6163
Mailing address
6044 WOODBRIDGE TRL, NEWBURGH, IN 47630-8031
(812) 459-3586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006980A
IN
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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