| NPI | 1477267649 |
|---|---|
| Other Name | KENNETH CONDE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-03-06 |