Individual
MRS. SUSAN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10551 PLEASANT VIEW LN, FISHERS, IN 46038-3606
(317) 841-2719
Mailing address
10551 PLEASANT VIEW LN, FISHERS, IN 46038-3606
(317) 841-2719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001728A
IN
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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