Individual
JANE ALEXANDRA CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 11TH AVE S STE 155, NAMPA, ID 83651-3946
(208) 466-1077
(208) 467-2201
Mailing address
22 WEST LN, SOUTH SALEM, NY 10590-1907
(914) 533-3024
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
005320-1
NY
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/15/2008
Last updated
06/19/2023
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