Individual
SUSAN MARIE CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 653-2951
Mailing address
1625 DEANE BLVD, RACINE, WI 53405-3416
(262) 515-2354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1607-019
WI
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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