PETER A CONRIQUE

JACKSONVILLE, FL
NPI1720198435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT25868)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-08-30
Last Update Date2010-09-14
Business Address
-- PETER A CONRIQUE
12961 N MAIN ST SUITE 201 & 202
JACKSONVILLE, FL 32218-2769
Phone number: 904-757-2474
Mailing Address
-- PETER A CONRIQUE
55801 BEAR RUN RD
CALLAHAN, FL 32011-8514
Phone number: 904-879-9576