Doctor Name: | SUSAN CONLEY |
NPI Number: | 1417076506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070-003842 |
Business Practice Address: | 900 Main St Ste. 450 Peoria, IL - 616021005 |
Business Phone Number: | 3096724568 |
Business Fax Number: | 3096724569 |
Mailing Address: | 900 Main St, Ste. 450 PEORIA |
State: | IL |
Postal Code: | 616021005 |
Phone Number: | 3096724568 |
Fax Number: | 3096724569 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-003842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |