| NPI | 1124205810 |
|---|---|
| Former Name | COLLEEN S KONRAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: SC 4121) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 3687) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2021-06-21 |