Individual
JEFFREY D KONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15312 W BELOIT RD, NEW BERLIN, WI 53151-7447
(262) 641-5771
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Enumeration date
06/13/2011
Last updated
08/08/2011
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