Individual
ADAM CONILOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1401 S MAIN ST STE 104, FAIRFIELD, IA 52556-3771
(402) 490-6432
Mailing address
1219 GLENVIEW CIR, FAIRFIELD, IA 52556-3758
(402) 490-6432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6075
OR
Other
Enumeration date
10/22/2009
Last updated
06/10/2021
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