Individual
JUDITH A CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PT
Contact information
Practice address
420 MAIN ST, WALPOLE, MA 02081-3753
(508) 668-5732
Mailing address
420 MAIN ST, WALPOLE, MA 02081-3753
(508) 668-5732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3674
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374172
—
MA
01
—
043289123
CIGNA
MA
01
—
2036864
AETNA/US HEALTHCARE
MA
01
—
37015
FIRST SENIORITY
MA
01
—
64-00057
UNITED HEALTH CARE
MA
01
—
708983
SECURE HORIZONS
MA
01
—
Y65218
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
11/10/2015
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