Individual
MRS. ANNETTE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, MPT
Contact information
Practice address
3975 JACKSON ST, RIVERSIDE, CA 92503-3901
(951) 352-2092
(951) 352-1913
Mailing address
29198 STONEGATE LN, HIGHLAND, CA 92346-5866
(909) 864-4747
(909) 864-4747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT13244
CA
363A00000X
Physician Assistant
Primary
PA20557
CA
Other
Enumeration date
08/21/2006
Last updated
10/28/2009
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