Organization
CONILOGUE PT LLC
Active
Other names
Fairfield Universal Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM CONILOGUE DPT (MANAGING MEMBER)
(402) 490-6432
Entity
Organization
Contact information
Practice address
1401 S MAIN ST STE 104, FAIRFIELD, IA 52556-3771
(641) 209-1446
Mailing address
1401 S MAIN ST STE 104, FAIRFIELD, IA 52556-3771
(641) 209-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/22/2019
Last updated
03/06/2026
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