Individual
ERIC CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4221 BOONE ST APT 2, PHILADELPHIA, PA 19128-5002
(570) 295-8193
Mailing address
4221 BOONE ST APT 2, PHILADELPHIA, PA 19128-5002
(570) 295-8193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004658
PA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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