Individual
ELIZABETH ULLAINE CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15316
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529115 01
CAREFIRST
MD
01
—
S891 0003
CAREFIRST
—
Enumeration date
11/27/2006
Last updated
02/25/2008
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