Doctor Name: | MRS. CAROL J. CONWAY |
NPI Number: | 1275732026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,P.T. |
License Number: | PT 12894 |
Business Practice Address: | 7227 Land O Lakes Blvd Land O Lakes, FL - 346382826 |
Business Phone Number: | 8137742602 |
Business Fax Number: | |
Mailing Address: | 19828 Wyndham Lakes Dr, ODESSA |
State: | FL |
Postal Code: | 335561725 |
Phone Number: | 8139262095 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 12894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |