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1770024648
ERIC CONRAD
PHILADELPHIA, PA
NPI
1770024648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TEI004658)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- ERIC CONRAD PTA
4221 BOONE ST APT 2
PHILADELPHIA, PA 19128-5002
Phone number: 570-295-8193
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Mailing Address
-- ERIC CONRAD PTA
4221 BOONE ST APT 2
PHILADELPHIA, PA 19128-5002
Phone number: 570-295-8193
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