Individual
MR. PATRICK CONWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1069 BARNESDALE RD, WEST DEPTFORD, NJ 08096-3150
(856) 577-8221
Mailing address
1069 BARNESDALE RD, WEST DEPTFORD, NJ 08096-3150
(856) 577-8221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004777
PA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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