Individual
JODI BETH CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45 RONALD REAGAN BLVD, WARWICK, NY 10990-4105
(845) 986-5555
Mailing address
45 RONALD REAGAN BLVD, WARWICK, NY 10990-4105
(845) 986-5555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004234-01
NY
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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