| NPI | 1558637389 |
|---|---|
| Former Name | MICHELE LYNN MANCHESTER-CONRAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 8786) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |