Conrad, Therese
Conrad, Therese is an individual health care provider with primary practice located at 10 Veterans Memorial Dr , Milford MA 01757-2900. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Conrad, Therese can be contacted via phone (508) 473-6414.Contact Information
Primary practice address
10 Veterans Memorial Dr
Milford MA 01757-2900
Phone: (508) 473-6414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3464 | Massachusetts |
Profile Details
| NPI number | 1760879779 |
|---|---|
| LBN Legal business name | Conrad, Therese |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2015 |
| Last updated | Apr 17th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760879779 | NPPES |
| Massachusetts | Other | 3464 | COMMONWEALTH OF MA DIVISION OF PROFESSIONAL LICENSURE |
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